Name of Issuer:  CAS Medical Systems Inc.
Title of Class of Securities:  Common
Cusip:  124769209
Date of Event:  February 18, 2009

 1) Name of Reporting Person: BMI Capital Corporation
 2) Appropriate Box if a Member of a Group (b)
 3) SEC Use Only
 4) Place of Organization  Delaware
 5) Sole Voting Power 0
 6) Share Voting Power 0
 7) Sole Dispositive Power  2,274,580
 8) Shared Dispositive Power   0
 9) Aggregate Amount Beneficially owned by Each Reporting Person 2,274,580
12) Type of Reporting Person:  IA

Item 1:
a) Name of Issuer:                      CAS Medical Systems, Inc.
b) Address of Issuers Business Office   44 East Industrial Road
				        Branford, CT  06405

Item 2:
a)  Name of Person Filing:  	        BMI Capital Corporation

b)  Address of Principal Office:        570 Lexington Avenue
					New York, NY 10022

b)  Place of Organization:		Delaware

d)  Title of Class of Securities        Common

e)  Cusip



Item 3:
   If this statement is filed pursuant to 240.13d-1(b) or 240.13d-2(b) or
(c), check whether this person is a:

e)   An Investment Advisor in accordance with 240.13d-1 (b)(1)(ii)(E)

Item 4:
a) Amount beneficially owned: 2,274,580
b) Percent of class:  20.00%
c) Number of shares as to which the person has:
(iii) Sole power to dispose or to direct the disposition of 2,274,580

Item 10:   Certification
(b) The following certification shall be included if the statement is filed
 pursuant to 240.13d-1(b):

By signing below I certify that, to the best of my knowledge and
belief, the securities referred to above were acquired and are
held in the ordinary course of business and were not acquired
and are not held for the purpose of or with the effect of
changing or influencing the control of the issuer of the
securities and were not acquired and are not held in
connection with or as a participant in any transaction
having that purpose or effect.

After reasonable inquiry and to the best of my knowledge
and belief, I certify that the information set forth in this statement
is true, complete and correct


Laurie Skolnick
Vice President
Date:  February 18, 2009
Vice President