The fact that the manufacturer of a medical device or its accessories or its agent, or a distributor or importer of medical devices or their accessories, carries out, causes to be carried out, disseminates or causes to be disseminated advertising subject to prior authorisation when the Agence nationale de sécurité du médicament et des produits de santé has not issued, has refused to issue, has suspended or has withdrawn the authorisation referred to in Article L. 5213-4, is punishable by one year’s imprisonment and a fine of 150,000 euros.