SANUWAVE Health (SNWV) 8-K Changes in Registrant's Certifying Accountant

Exhibit 16.1

January 24, 2017

Securities and Exchange Commission

100 F Street N.E.

Washington, D.C. 20549

We have been furnished with a copy of the response to Item 4.01 of Form 8-K for the event that occurred on January 23, 2017, to be filed by our former client, SANUWAVE Health, Inc. We agree with the statements made in response to that Item insofar as they relate to our Firm.

Very truly yours,

/s/ BDO USA, LLP