I.-The devices referred to in Article 1 of Regulation (EU) 2017/745 of the European Parliament and of the Council of 5 April 2017 shall be placed on the market or put into service in accordance with Article 5 of that Regulation and this Article.
II.-Pursuant to Article 59 of this Regulation, the Agence nationale de sécurité du médicament et des produits de santé may, upon duly justified request, by way of derogation from the obligation for prior assessment of the conformity of each device provided for in Article 52 of Regulation (EU) 2017/745, authorise the placing on the market or putting into service on French territory of a device that has not been subject to such assessment, but whose use is in the interests of public health or the safety or health of patients.
III.A healthcare establishment which manufactures and uses a device exclusively within its premises, under the conditions provided for in paragraph 5 of Article 5 of Regulation (EU) 2017/45, shall send the declaration provided for in e of the same paragraph 5 to the Director General of the regional health agency or, for army hospitals, to the Minister for Defence. The establishment shall send declarations relating to Class IIb and Class III medical devices to the Director General of the Agence nationale de sécurité du médicament et des produits de santé.
The establishment shall draw up an annual report concerning all devices manufactured in accordance with the provisions of Article 5(5) of Regulation (EU) 2017/45.
At the request of the Director General of the Agence nationale de sécurité du médicament et des produits de santé, the establishment shall send the Director General this report, together with the information and documents referred to in Article 5(5) of Regulation (EU) 2017/745.
IV.-The Agence nationale de sécurité du médicament et des produits de santé may authorise the Minister for Defence to use a medical device and its accessories, even though they do not have the certificate of conformity referred to in Article 56 of Regulation (EU) 2017/745, when there is no medical device available or suitable and this use is intended to meet specific national defence needs.
This authorisation may be granted for medical devices or their accessories:
1° Manufactured by the armed forces health service;
2° Or manufactured at the request of the Ministry of Defence and distributed by the armed forces health service medical supply establishments;
3° Or imported by the Ministry of Defence.