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                          April 27, 2023

       Jonathan McGuire
       Chief Executive Officer
       Ra Medical Systems, Inc.
       1670 Highway 160 West, Suite 205
       Fort Mill, SC 29708

                                                        Re: Ra Medical Systems,
Inc.
                                                            Registration
Statement on Form S-3
                                                            Filed April 21,
2023
                                                            File No. 333-271388

       Dear Jonathan McGuire:

              This is to advise you that we have not reviewed and will not
review your registration
       statement.

               Please refer to Rules 460 and 461 regarding requests for
acceleration. We remind you
       that the company and its management are responsible for the accuracy and
adequacy of their
       disclosures, notwithstanding any review, comments, action or absence of
action by the staff.

                                                        Please contact Jordan
Nimitz at 202-551-5831 with any questions.




                          Sincerely,


                          Division of Corporation Finance

                          Office of Industrial Applications and

                          Services