decis april joint committe establish agreement mutual recognit european commun unit state america amend sector annex medic devic ec joint committe regard agreement mutual recognit european commun unit state america articl thereof pursuant articl sector annex joint committe amend write parti note hand progress made carri confid build activ provid sector annex medic devic recognis hand time finalis remain confid build activ transit period extend decid sector annex medic devic amend sentenc articl sector annex medic devic delet entireti replac quot year transit period immedi date entri forc agreement base progress made transit period parti repres number conform assess bodi list appendix accord articl joint committe decid end transit period proce oper period quot sentenc articl sector annex medic devic delet entireti replac quot prior start oper period parti proce joint assess equival cab particip confid build activ quot decis duplic sign repres joint committe authoris act behalf parti purpos amend agreement decis effect date signatur sign washington dc april behalf unit state america jame sanford sign brussel april behalf european commun philipp meyer