Sigvaris, Inc. v. United States , 227 F. Supp. 3d 1327 ( 2017 )


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  •                                          Slip Op. 17-60
    UNITED STATES COURT OF INTERNATIONAL TRADE
    SIGVARIS, INC.,
    Plaintiff,
    Before: Jennifer Choe-Groves, Judge
    v.
    Court No. 11-00532
    UNITED STATES,
    Defendant.
    OPINION
    [Denying Plaintiff’s motion for summary judgment and granting Defendant’s cross-motion for
    summary judgment with respect to the classification of certain models of graduated compression
    hosiery; Granting Plaintiff’s motion for summary judgment and denying Defendant’s cross-
    motion for summary judgment with respect to the classification of certain models of graduated
    compression arm-sleeves and gauntlets.]
    Dated: May 17, 2017
    John M. Peterson, Russell A. Semmel, and Elyssa R. Emsellem, Neville Peterson, LLP, of New
    York, NY, argued for Plaintiff Sigvaris, Inc.
    Alexander J. Vanderweide, Trial Attorney, Commercial Litigation Branch, Civil Division, U.S.
    Department of Justice, of New York, NY, argued for Defendant United States. With him on the
    brief were Benjamin C. Mizer, Principal Deputy Assistant Attorney General, and Amy M. Rubin,
    Assistant Director. Of counsel on the brief was Beth C. Brotman, Attorney, Office of the
    Assistant Chief Counsel, International Trade Litigation, U.S. Customs and Border Protection, of
    New York, NY.
    Choe-Groves, Judge: This case addresses whether various models of graduated
    compression hosiery, arm-sleeves, and gauntlets (fingerless, glove-like articles worn on the
    hands) are specially designed for the use or benefit of handicapped persons and are therefore
    duty-free under the Nairobi Protocol to the Florence Agreement on the Importation of
    Educational, Scientific, and Cultural Materials (“Nairobi Protocol”) and the Harmonized Tariff
    Court No. 11-00532                                                                            Page 2
    Schedule of the United States (“HTSUS”).1 Before the court are cross-motions for summary
    judgment. See Pl.’s Mot. Summ. J., Dec. 21, 2015, ECF No. 56; Mem. Sigvaris, Inc., Supp. Pl.’s
    Mot. Summ. J., Dec. 21, 2015, ECF No. 56-2 (“Pl. Br.”); Def.’s Cross-Mot. Summ. J. 1–2, Mar.
    10, 2016, ECF No. 61; Def.’s Mem. Supp. Cross-Mot. Summ. J. 20–46, Mar. 10, 2016, ECF No.
    61 (“Def. Br.”).
    Sigvaris, Inc. (“Plaintiff”) argues that U.S. Customs and Border Protection (“Customs”)
    improperly denied its protests that challenged the classification of its imported graduated
    compression merchandise. See Pl. Br. 1. Plaintiff contends that all of its compression products
    are entitled to duty free treatment because the products are classifiable under the Nairobi
    Protocol and HTSUS subheading 9817.00.96, which covers “[a]rticles specially designed or
    adapted for the use or benefit of the blind or other physically or mentally handicapped persons.”2
    See Pl. Br. 3–21. The United States (“Defendant” or “Government”) maintains that Customs
    properly classified the imported graduated compression merchandise as not specially designed
    for handicapped persons. See Def. Br. 5–21.
    For the reasons discussed below, the court (1) denies Plaintiff’s motion for summary
    judgment and grants Defendant’s cross-motion for summary judgment with respect to the
    classification of the models of hosiery at issue, which were properly classified by Customs under
    1
    All citations to the HTSUS are to the 2008–2010 versions based on the dates of the entries at
    issue. The relevant provisions and accompanying notes from these versions are identical.
    2
    On February 28, 2017, the court issued an opinion sua sponte dismissing classification claims
    brought by Plaintiff regarding certain models of graduated compression products. See Sigvaris,
    Inc. v. United States, 41 CIT __, 
    211 F. Supp. 3d 1353
    , 1358–64 (2017). The court now issues
    this opinion to address the merits of the Parties’ cross-motions for summary judgment and to rule
    on the classification claims concerning the imported merchandise, excluding the claims
    dismissed in the court’s previous opinion.
    Court No. 11-00532                                                                           Page 3
    HTSUS subheading 6115.10.40 as “[o]ther graduated compression hosiery: . . . [o]f synthetic
    fibers”; and (2) grants Plaintiff’s motion for summary judgment and denies Defendant’s cross-
    motion for summary judgment with respect to the classification of the models of arm-sleeves and
    gauntlets at issue, which are classifiable under the Nairobi Protocol and HTSUS subheading
    9817.00.96 as articles specially designed for the use or benefit of physically handicapped
    persons.
    UNDISPUTED FACTS
    As required by USCIT Rule 56.3, Plaintiff and Defendant submitted separate statements
    of material facts and responses thereto. See Statement of Material Facts as to Which no Genuine
    Issue Exists, Dec. 21, 2015, ECF No. 56-1 (“Pl. Facts”); Def.’s Resp. Pl.’s Statement of Material
    Facts as to Which no Genuine Issues Exists, Mar. 10, 2016, ECF No. 61 (“Def. Facts Resp.”);
    Def.’s Statement of Undisputed Material Facts, Mar. 10, 2016, ECF No. 61 (“Def. Facts”); Pl.’s
    Resp. Def.’s Statement of Undisputed Material Facts, June 1, 2016, ECF No. 66-1 (“Pl. Facts
    Resp.”). The following facts are not in dispute.
    A. Jurisdictional and Procedural Facts
    Plaintiff imported 105 entries of graduated compression merchandise into the United
    States at the Port of Atlanta in Georgia between September 2008 and November 2010. See Pl.
    Facts ¶¶ 1–2; Def. Facts Resp. ¶¶ 1–2. The entries were liquidated by Customs between August
    2009 and September 2011. See Pl. Facts ¶ 3; Def. Facts Resp. ¶ 3. Customs classified the
    graduated compression merchandise under various provisions of the HTSUS as follows: (1) the
    hosiery at a duty rate of 14.6% ad valorem under HTSUS subheading 6115.10.40 as “Other
    graduated compression hosiery: . . . Of synthetic fibers” or duty free under HTSUS subheading
    Court No. 11-00532                                                                             Page 4
    6115.10.05 as “Graduated compression hosiery (for example, stockings for varicose veins):
    Surgical panty home [sic] and surgical stockings with graduated compression for orthopedic
    treatment”; (2) the arm-sleeves under HTSUS subheading 6307.90.98 as “Other made up
    articles, including dress patterns: . . . Other: . . . Other” dutiable at 7% ad valorem; and (3) the
    gauntlets under HTSUS subheading 6116.93.88 as “Gloves, mittens and mitts, knitted or
    crocheted: . . . Other: . . . Of synthetic fibers: . . . Other: Without fourchettes” dutiable at 18.6%
    ad valorem. See Pl. Facts ¶ 3; Def. Facts Resp. ¶ 3; see also Summons, Dec. 22, 2011, ECF
    No. 1.
    Plaintiff filed timely protests contesting the classification of several models of
    compression products and seeking duty free treatment of its merchandise. See Protest Nos.
    1704-10-100013, -10-100018, -10-100068, -10-100240, -10-100258, -11-100057, -11-100189,
    -11-100352, -11-100414. All nine of Plaintiff’s protests were deemed denied by Customs on
    December 12, 2011.3 See Summons; Compl. ¶ 4, Mar. 30, 2012, ECF No. 6. Plaintiff paid
    liquidated duties according to Customs’ classification of the merchandise. See Pl. Facts ¶ 4; Def.
    Facts Resp. ¶ 4. Thereafter, Plaintiff commenced this action. See Summons.
    B. Facts Regarding the Imported Compression Products
    The imported merchandise consists of various models of graduated compression
    products, each differing in style, material, length, and compression level. See Def. Facts ¶¶ 1–8;
    3
    The time in which Customs was given by statute to either allow or deny Plaintiff’s protests
    elapsed, and, as a result, the protests were deemed denied by Customs on December 12, 2011.
    See 
    19 U.S.C. § 1515
    (b) (2006) (“For purposes of section 1581 of Title 28, a protest which has
    not been allowed or denied in whole or in part within thirty days following the date of mailing by
    certified or registered mail of a request for accelerated disposition shall be deemed denied on the
    thirtieth day following mailing of such request.”); see also 
    19 C.F.R. § 174.22
     (2011).
    Court No. 11-00532                                                                             Page 5
    Pl. Facts Resp. ¶¶ 1–8. Each model is designed to apply a fixed range of graduated compression
    measured in millimeters of mercury (“mmHg”). See Def. Facts ¶ 3–4; Pl. Facts Resp. ¶ 3–4.
    Graduated compression applies maximum pressure at the furthest point in the extremity and
    decreases gradually up the limb. See Pl. Facts ¶ 6; Def. Facts Resp. ¶ 6; Def. Facts ¶¶ 3–4; Pl.
    Facts Resp. ¶¶ 3–4. The compression products “are made on special circular knitting machines
    that use elasticized material to impart compression characteristics . . . [,] to ensure the product is
    made for the proper measurements and to exert the correct pressure.” Pl. Facts ¶ 7; Def. Facts
    Resp. ¶ 7.
    The imported graduated compression hosiery consists of products from three product
    lines – the 120 Support Therapy Sheer Fashion Series for women (“Series 120”), the 145 Support
    Therapy Classic Dress Series for women (“Series 145”), and the 185 Support Therapy Classic
    Dress Series for men (“Series 185”). See Def. Facts ¶ 2; Pl. Facts Resp. ¶ 2; Pl. Facts ¶ 5; Def.
    Facts Resp. ¶ 5. Series 120 hosiery is available in a variety of models, including 120P
    (pantyhose), 120M (maternity pantyhose), 120N (thigh-high hosiery), 120C (calf-length
    hosiery), and 120CO (calf-length hosiery with open toe). See Def. Facts ¶ 5; Pl. Facts Resp. ¶ 5.
    Series 120 models are “made of a combination of nylon and spandex, and in some products, also
    silicone.” Def. Facts ¶ 6; Pl. Facts Resp. ¶ 6. Series 145 and Series 185 models of compression
    hosiery “are calf-length graduated support dress socks made of a combination of nylon and
    spandex.” Def. Facts ¶ 7; Pl. Facts Resp. ¶ 7. All of the hosiery models at issue from these
    product lines exert 15–20 mmHg of compression. See Def. Facts ¶¶ 6–7; Pl. Facts Resp. ¶¶ 6–7;
    see also Pl. Exs. Rule 56.3 Statement of Facts and Mem. Ex. A at 000029–30, 000035, Dec. 21,
    2015, ECF No. 56-4 (“Ex. A”). The compression applied by the hosiery is greatest at the ankle
    Court No. 11-00532                                                                          Page 6
    and gradually decreases as the stocking moves up the leg.4 See Pl. Facts ¶ 6; Def. Facts Resp.
    ¶ 6; Def. Facts ¶ 3; Pl. Facts Resp. ¶ 3.
    The imported graduated compression arm-sleeves and gauntlets are part of the 500
    Medical Therapy Natural Rubber Series (“Series 500”). See Def. Facts ¶ 8; Pl. Facts Resp. ¶ 8.
    Series 500 arm-sleeves and gauntlets are available in the following models: 503A (arm-sleeve
    without gauntlet), 503B (arm-sleeve with gauntlet), and 503Gs2 and 503GM2 (separate
    gauntlets). See Def. Facts ¶ 8; Pl. Facts Resp. ¶ 8. These arm-sleeves and gauntlets “are made
    of a combination of nylon and natural latex rubber.” Def. Facts ¶ 8; Pl. Facts Resp. ¶ 8. The
    arm-sleeves and gauntlets apply 30–40 mmHg of compression, which is greatest at the wrist and,
    in the case of the arm-sleeves, decreases gradually as the sleeve moves up the arm. See Pl. Facts
    ¶¶ 1, 6; Def. Facts Resp. ¶¶ 1, 6; Def. Facts ¶ 8; Pl. Facts Resp. ¶ 8.
    C. Facts Regarding Chronic Venous Disease, Chronic Venous Insufficiency, and
    Lymphedema
    Chronic venous disease (“CVD”) “is a mechanical problem of the lower limbs in which
    the walls of veins and valves are, to relative degrees of severity, damaged, obstructed, [or]
    leaking.” Def. Facts ¶ 9; Pl. Facts Resp. ¶ 9. The severity of CVD is graded according to the
    Clinical, Etiology, Anatomy, Pathophysiology (“CEAP”) scale where no clinical signs of CVD
    are classified under C0, small varicose veins are classified under C1, large varicose veins are
    classified under C2, edema is classified under C3, skin change with no ulceration is classified
    under C5, and skin change with an active ulceration is classified under C6. See Def. Facts ¶ 11;
    4
    For example, full-length graduated compression hosiery would have “100% compression at the
    ankle, 50–80% compression at the calf, and 20–40% compression at the thigh.” Def. Facts ¶ 3;
    Pl. Facts Resp. ¶ 3.
    Court No. 11-00532                                                                           Page 7
    Pl. Facts Resp. ¶ 11. A quarter of adult Americans have varicose veins, many of whom do not
    suffer from any discomfort or other symptoms of CVD. See Def. Facts ¶ 20; Pl. Facts Resp.
    ¶ 20. “The symptoms of CVD can be managed by graduated compression therapy, or in the case
    of superficial and varicose veins, treated surgically, but the underlying conditions giving rise to
    CVD cannot be fixed or cured.” Def. Facts ¶ 10; Pl. Facts Resp. ¶ 10. Chronic venous
    insufficiency (“CVI”) “is a subset of CVD of greater severity, which affects people with C3 or
    C4 to C6 conditions.” Def. Facts ¶ 12; Pl. Facts Resp. ¶ 12. CVI is “a condition in which the
    valves in varicose arteries and veins no longer work properly to assist in pumping blood back to
    the heart, with the result that gravity directs blood and other fluids downward, causing painful
    swelling of the extremity.” Pl. Facts ¶ 12; Def. Facts Resp. ¶ 12. Severe cases of CVI can
    interfere with and impair certain life functions, such as walking, standing, and working. See Pl.
    Facts ¶ 20; Def. Facts Resp. ¶ 20.
    Lymphedema is “a chronic and incurable condition in which the patient’s lymphatic
    system does not function efficiently to recirculate lymph out of the extremities.” Pl. Facts ¶ 14;
    Def. Facts Resp. ¶ 14. An improperly functioning lymphatic system causes lymphatic fluid and
    water to pool in the extremities, causing pain, swelling, sluggishness, and skin ulcerations. See
    Pl. Facts ¶¶ 14, 23; Def. Facts Resp. ¶¶ 14, 23; see also Def. Facts ¶ 21; Pl. Facts Resp. ¶ 21.
    Lymphedema can interfere with and impair certain life functions. See Pl. Facts ¶ 20; Def. Facts
    Resp. ¶ 20. Women who have had their lymph nodes damaged or surgically removed during a
    mastectomy to treat breast cancer suffer from upper-limb lymphedema. See Def. Facts ¶ 21; Pl.
    Facts Resp. ¶ 21; see also Pl. Facts ¶ 23; Def. Facts Resp. ¶ 23. Mastectomy patients “with
    improperly functioning lymphatic systems suffer from extremely swollen limbs due to retained
    Court No. 11-00532                                                                         Page 8
    lymphatic fluid.” See Pl. Facts ¶ 23; Def. Facts Resp. ¶ 23. People who suffer from upper-limb
    lymphedema may be unable, in some cases, to use the affected arm because of significant
    swelling. See Def. Facts ¶ 23; Pl. Facts Resp. ¶ 23.
    If left untreated, CVI and lymphedema may cause lesions, ulcers, bleeding, and infection
    as the limb swells and the skin stretches to accommodate the swelling. Pl. Facts ¶ 19; Def. Facts
    Resp. ¶ 19.
    D. Facts Regarding the Design and Use of the Imported Compression Products
    The use of graduated compression can help manage and alleviate the symptoms of CVD
    and lymphedema. See Pl. Facts ¶¶ 12, 14; Def. Facts Resp. ¶¶ 12, 14. “Graduated compression
    forces blood and fluids (water, lymph) that have pooled in the extremity due to malfunctioning or
    damaged venous valves or lymphatic systems to circulate out of the extremity.” Pl. Facts ¶ 11;
    Def. Facts Resp. ¶ 11. “Forcing blood and other fluids upward, out of the extremity, prevents
    venous reflux or pooling, which causes . . . varicose veins, edema, and skin ulcerations.” Pl.
    Facts ¶ 13; Def. Facts Resp. ¶ 13.
    The imported models of graduated compression hosiery impart levels of compression that
    can alleviate CVD symptoms. See Pl. Facts ¶ 21; Def. Facts Resp. ¶ 21. The compression
    hosiery products can be prescribed by a physician, but generally are neither covered by insurance
    nor provided to patients in hospitals. See Def. Facts ¶ 18; Pl. Facts Resp. ¶ 18. The hosiery can
    also be purchased over-the-counter without a prescription at durable medical supply companies,
    pharmacies, and over the internet. See Def. Facts ¶ 18; Pl. Facts Resp. ¶ 18. The compression
    hosiery is designed to be worn every day, except while sleeping. See Def. Facts ¶ 13; Pl. Facts
    Resp. ¶ 13. The compression hosiery does not cure CVD or lymphedema. See Pl. Facts ¶ 24;
    Court No. 11-00532                                                                        Page 9
    Def. Facts Resp. ¶ 24. The hosiery products “are not designed or intended for use as surgical
    compression or anti-embolism stockings following an orthopedic procedure.”5 Def. Facts ¶ 25;
    Pl. Facts Resp. ¶ 25.
    The imported models of graduated compression arm-sleeves and gauntlets can alleviate
    the symptoms of upper-limb lymphedema. See Pl. Facts ¶ 21; Def. Facts Resp. ¶ 21. The
    compression arm-sleeves and gauntlets are “predominantly worn” by women who suffer from
    upper-limb lymphedema, which has been caused by damaged or surgically-removed lymph
    nodes during a mastectomy to treat breast cancer. See Def. Facts ¶ 21; Pl. Facts Resp. ¶ 21; see
    also Pl. Facts ¶ 23; Def. Facts Resp. ¶ 23. The arm-sleeves reduce swelling in the arm and the
    gauntlets reduce swelling in the hand. See Def. Facts ¶ 21; Pl. Facts Resp. ¶ 21. The arm-
    sleeves and gauntlets are prescribed as a preventative measure for people who are expected to
    suffer from upper-limb lymphedema or as treatment for people who already suffer from upper-
    limb lymphedema. See Def. Facts ¶ 22; Pl. Facts Resp. ¶ 22; Pl. Facts ¶¶ 8, 17; Def. Facts Resp.
    ¶¶ 8, 17. They can also be prescribed for temporary use by patients undergoing surgery for other
    conditions that cause swelling. See Def. Facts ¶ 22; Pl. Facts Resp. ¶ 22.
    JURISDICTION AND STANDARD OF REVIEW
    The court has jurisdiction pursuant to 
    28 U.S.C. § 1581
    (a) (2006)6 and 
    19 U.S.C. § 1515
    (2006). The court will grant summary judgment if “the movant shows that there is no genuine
    5
    “Surgical compression stockings, also known as anti-embolism stockings, are prescribed
    following an orthopedic surgical procedure to reduce swelling and the risk of clots and deep-vein
    thrombosis. Such stockings are designed to provide compression at the calf, and are worn by
    post-operative patients who are bed-ridden.” Def. Facts ¶ 24; Pl. Facts Resp. ¶ 24.
    6
    Further citations to Title 28 of the U.S. Code are to the 2006 edition.
    Court No. 11-00532                                                                          Page 10
    dispute as to any material fact and the movant is entitled to judgment as a matter of law.”
    USCIT R. 56(a). To raise a genuine issue of material fact, a party cannot rest upon mere
    allegations or denials and must point to sufficient supporting evidence for the claimed factual
    dispute to require resolution of the differing versions of the truth at trial. See Anderson v.
    Liberty Lobby, Inc., 
    477 U.S. 242
    , 248–49 (1986); Processed Plastics Co. v. United States, 
    473 F.3d 1164
    , 1170 (Fed. Cir. 2006); Barmag Barmer Maschinenfabrik AG v. Murata Mach., Ltd.,
    
    731 F.2d 831
    , 835–36 (Fed. Cir. 1984).
    A two-step process guides the court in determining the correct classification of
    merchandise. First, the court ascertains the proper meaning of the terms in the tariff provision.
    See Schlumberger Tech. Corp. v. United States, 
    845 F.3d 1158
    , 1162 (Fed. Cir. 2017) (citing
    Sigma-Tau HealthScience, Inc. v. United States, 
    838 F.3d 1272
    , 1276 (Fed. Cir. 2016)). Second,
    the court determines whether the merchandise at issue falls within the parameters of the tariff
    provision. See 
    id.
     The former is a question of law and the latter is a question of fact. See 
    id.
    “[W]hen there is no dispute as to the nature of the merchandise, then the two-step classification
    analysis ‘collapses entirely into a question of law.’” Link Snacks, Inc. v. United States, 
    742 F.3d 962
    , 965–66 (Fed. Cir. 2014) (quoting Cummins Inc. v. United States, 
    454 F.3d 1361
    , 1363 (Fed.
    Cir. 2006)).
    The court reviews classification cases de novo. See 
    28 U.S.C. § 2640
    (a)(1). Customs is
    afforded a statutory presumption of correctness in classifying merchandise under the HTSUS,
    see 
    28 U.S.C. § 2639
    (a)(1), but this presumption does not apply to pure questions of law. See
    Universal Elecs. Inc. v. United States, 
    112 F.3d 488
    , 492 (Fed. Cir. 1997). The court has “an
    independent responsibility to decide the legal issue of the proper meaning and scope of HTSUS
    Court No. 11-00532                                                                        Page 11
    terms,” Warner-Lambert Co. v. United States, 
    407 F.3d 1207
    , 1209 (Fed. Cir. 2005) (citing
    Rocknel Fastener, Inc. v. United States, 
    267 F.3d 1354
    , 1358 (Fed. Cir. 2001)), and therefore
    must determine “whether the government’s classification is correct, both independently and in
    comparison with the importer’s alternative.” Jarvis Clark Co. v. United States, 
    733 F.2d 873
    ,
    878 (Fed. Cir. 1984).
    DISCUSSION
    I.   Legal Framework
    The classification of merchandise under the HTSUS is governed by the General Rules of
    Interpretation (“GRIs”) and, if applicable, the Additional U.S. Rules of Interpretation, which are
    both applied in numerical order. BenQ Am. Corp. v. United States 
    646 F.3d 1371
    , 1376 (Fed.
    Cir. 2011) (citing N. Am. Processing Co. v. United States, 
    236 F.3d 695
    , 698 (Fed. Cir. 2001)).
    GRI 1 instructs that, “for legal purposes, classification shall be determined according to the terms
    of the headings and any [relevant] section or chapter notes.” GRI 1. “Absent contrary legislative
    intent, HTSUS terms are to be ‘construed [according] to their common and popular meaning.’”
    Baxter Healthcare Corp. of P.R. v. United States, 
    182 F.3d 1333
    , 1337 (Fed. Cir. 1999) (quoting
    Marubeni Am. Corp. v. United States, 
    35 F.3d 530
    , 533 (Fed. Cir. 1994)).
    In construing the terms of the headings, “[a] court may rely upon its own understanding
    of the terms used and may consult lexicographic and scientific authorities, dictionaries, and other
    reliable information sources.” Carl Zeiss, Inc. v. United States, 
    195 F.3d 1375
    , 1379 (Fed. Cir.
    1999) (citing Baxter Healthcare Corp. of P.R., 
    182 F.3d at 1337
    ). The court may also consult the
    Harmonized Commodity Description and Coding System’s Explanatory Notes (“Explanatory
    Notes”), which “provide a commentary on the scope of each heading of the Harmonized System
    Court No. 11-00532                                                                         Page 12
    . . . and are generally indicative of proper interpretation of the various provisions.” H.R. Rep.
    No. 100–576, 549 (1988), reprinted in 1988 U.S.C.C.A.N. 1547, 1582; see also E.T. Horn Co. v.
    United States, 
    367 F.3d 1326
    , 1329 (Fed. Cir. 2004) (citing Len-Ron Mfg. Co. v. United States,
    
    334 F.3d 1304
    , 1309 (Fed. Cir. 2003)). Tariff terms are defined according to the language of the
    headings, the relevant section and chapter notes, the Explanatory Notes, available lexicographic
    sources, and other reliable sources of information.
    Plaintiff contends that all of its compression products are classifiable as duty free under
    the Nairobi Protocol as articles specially designed for the use or benefit of physically
    handicapped persons. See Pl. Br. 3–21. Defendant contends that Customs correctly classified
    Plaintiff’s compression products as ordinary articles not intended for handicapped persons under
    HTSUS subheadings 6115.10.40, 6307.90.98, and 6116.93.88. See Def. Br. 5–21. The central
    issue presented by the cross-motions for summary judgment is whether Plaintiff’s compression
    products meet the requirements for duty free treatment under the Nairobi Protocol as
    implemented by HTSUS subheading 9817.00.96.7
    7
    The tariff provisions in Chapters 1 through 97 of the HTSUS generally reflect the international
    nomenclature of the Harmonized Commodity Description and Coding System as developed by
    the World Customs Organization. Chapters 98 and 99 contain classification provisions in
    addition to the international nomenclature that implement special duty treatment afforded by the
    U.S. government pursuant to temporary legislation or trade agreements. The tariff provisions in
    Chapter 98 of the HTSUS are not subject to the rule of specificity as provided in GRI 3(a). See
    U.S. Note 1, Chapter 98 HTSUS. Merchandise must be afforded duty free treatment under the
    Nairobi Protocol if the requirements of HTSUS subheading 9817.00.96 are met, regardless of
    whether the merchandise is also classifiable under provisions in other chapters. See 
    id.
    Court No. 11-00532                                                                                                   Page 13
    II.   Analysis of the Terms Under HTSUS 9817.00.96
    The court must first ascertain the proper meaning and scope of the terms under HTSUS
    subheading 9817.00.96 before determining whether Plaintiff’s compression products are
    classified under that provision. See Schlumberger Tech. Corp., 845 F.3d at 1162 (citing Sigma-
    Tau HealthScience, Inc., 838 F.3d at 1276).
    Congress passed the Educational, Scientific, and Cultural Materials Importation Act of
    19828 and the Omnibus Trade and Competitiveness Act9 to implement the Nairobi Protocol.
    This legislation eliminated duties for a variety of merchandise, including products covered by
    HTSUS subheading 9817.00.96:
    9817   Articles specially designed or adapted for the use or benefit of the blind or
    other physically or mentally handicapped persons; parts and accessories
    (except parts and accessories of braces and artificial limb prosthetics) that
    are specially designed or adapted for use in the foregoing articles:
    ...
    9817.00.96         Other . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Free
    Subheading 9817.00.96, HTSUS. Classification under this provision depends on whether the
    merchandise is “specially designed or adapted for the use or benefit of the blind or other
    mentally or physically handicapped persons.”
    The relevant subchapter note to Chapter 98 provides that the term “‘physically or
    mentally handicapped persons’ includes any person suffering from a permanent or chronic
    physical or mental impairment which substantially limits one or more major life activities, such
    8
    See Pub. L. No. 97-446, 
    96 Stat. 2329
    , 2346 (1983).
    9
    See Pub. L. No. 100-418, 
    102 Stat. 1107
     (1988).
    Court No. 11-00532                                                                            Page 14
    as caring for one’s self, performing manual tasks, walking, seeing, hearing, speaking, breathing,
    learning, or working.” U.S. Note 4(a), Subchapter XVII, Chapter 98, HTSUS. This non-
    exhaustive list of activities indicates that the definition of handicapped persons should be
    interpreted liberally and encompasses a wide range of conditions, as long as the condition
    substantially inhibits a person’s ability to perform essential daily tasks. Customs has also
    acknowledged that, “with the inclusion of activities such as breathing, this [definition of
    handicapped] is intended to cover a broad range of individuals.” U.S. Customs Service
    Implementation of the Duty-Free Provisions of the Nairobi Protocol, Annex E, to the Florence
    Agreement, T.D. 92-77, 26 Cust. Bull. & Dec. 240, 246 (1992) (interpretive rule) (“Customs
    Implementation”). Neither the HTSUS nor the subchapter note clarify precisely what is
    considered a ‘substantial limitation.’ The inclusion of the word “substantially” denotes that the
    limitation must be “considerable in amount” or “to a large degree.” See Webster’s Third New
    International Dictionary 2280 (unabr. 2002).
    The subchapter note specifies that the subheading does not cover “(i) articles for acute or
    transient disability; (ii) spectacles, dentures, and cosmetic articles for individuals not
    substantially disabled; (iii) therapeutic and diagnostic articles; or (iv) medicine or drugs.” U.S.
    Note 4(b), Subchapter XVII, Chapter 98, HTSUS. Consideration of the definition for
    handicapped persons together with the exclusions in the subchapter note provides further insight
    regarding the bounds of what is considered a physical handicap under this subheading. The
    Court No. 11-00532                                                                          Page 15
    impairment must be permanent10 as opposed to transient,11 and chronic12 as opposed to acute.13
    The article cannot be designed to impart a cosmetic14 benefit to those who are not substantially
    disabled. The subheading does not cover therapeutic articles,15 which have been defined as
    “having healing or curative powers.” See Richards Med. Co. v. United States, 
    13 CIT 519
    , 520–
    21, 
    720 F. Supp. 998
    , 1000 (1989), aff’d, 
    910 F.2d 828
    , 830–31 (Fed. Cir. 1990).16 Nor does the
    provision cover diagnostic articles,17 which have been defined as articles that “assist a health
    professional to detect the signs and symptoms of a condition or disease.” Trumpf Med. Sys., Inc.
    10
    Permanent is defined as “continuing or enduring (as in the same state, status, place) without
    fundamental or marked change.” See Webster’s Third New International Dictionary 1683
    (unabr. 2002).
    11
    Transient is defined as “passing away in time or ceasing to exist” and is synonymous with
    “impermanent,” “short-lived,” and “ephemeral.” See Webster’s Third New International
    Dictionary 2428 (unabr. 2002).
    12
    Chronic is defined as “suffering from a disease or ailment of long duration or frequent
    recurrence” or “marked by long duration, by frequent recurrence over a long time, and often by
    slowly progressing seriousness.” See Webster’s Third New International Dictionary 402 (unabr.
    2002).
    13
    Acute is defined as “having a sudden onset, sharp rise, and short course.” See Webster’s Third
    New International Dictionary 23 (unabr. 2002).
    14
    Cosmetic is defined as “relating to or making for beauty” and is synonymous with
    “beautifying.” See Webster’s Third New International Dictionary 514 (unabr. 2002).
    15
    Therapeutic is defined as “of or relating to the treatment of disease or disorders by remedial
    agents or methods.” See Webster’s Third New International Dictionary 2372 (unabr. 2002).
    16
    The court recognizes that Richards Med. Co. was decided under the Tariff Schedules of the
    United States, the predecessor to the HTSUS, but does not view this as a reason to depart from
    the definition of the term “therapeutic” used in that case.
    17
    Diagnostic is defined as “serving to distinguish, identify, or determine [a] characteristic of or
    . . . the presence of a particular disease.” See Webster’s Third New International Dictionary 622
    (unabr. 2002).
    Court No. 11-00532                                                                         Page 16
    v. United States, 
    34 CIT 1404
    , 1417, 
    753 F. Supp. 2d 1297
    , 1308 (2010) (internal quotations
    omitted).
    The HTSUS does not offer any guidance for determining whether an article is “specially
    designed” for handicapped persons. In the absence of a clear definition under the HTSUS, the
    court may consult dictionaries, scientific authorities, and other reliable information sources. See
    Kahrs Int’l, Inc. v. United States, 
    713 F.3d 640
    , 644 (Fed. Cir. 2013) (citing Mead Corp. v.
    United States, 
    283 F.3d 1342
    , 1346 (Fed. Cir. 2002)). The term “specially” is synonymous with
    “particularly,” which is defined as “to an extent greater than in other cases or towards others.”
    Webster’s Third New International Dictionary 1647, 2186 (unabr. 2002). The dictionary
    definition for “designed” is something that is “done, performed, or made with purpose and intent
    often despite an appearance of being accidental, spontaneous, or natural.” Webster’s Third New
    International Dictionary 612 (unabr. 2002). According to these definitions, articles specially
    designed for handicapped persons must be made with the specific purpose and intent to be used
    by or benefit handicapped persons rather than the general public. Cf. Marubeni Am. Corp., 
    35 F.3d at 534
     (construing a provision with similar language that covered “motor vehicles
    principally designed for the transport of persons”).
    Additionally, it is helpful to note that Customs has considered a number of factors to
    determine whether a particular product is “specially designed or adapted” for handicapped
    persons, including the physical properties of the merchandise, whether the merchandise is solely
    used by the handicapped, the specific design of the merchandise, the likelihood the merchandise
    is useful to the general public, and whether the merchandise is sold in specialty stores. See
    Customs Implementation at 242–45. Customs has weighed these factors on a case-by-case basis
    Court No. 11-00532                                                                        Page 17
    to determine whether merchandise is specially designed for the handicapped. See id. at 245.
    The Parties rely on a number of these factors in arguing whether Plaintiff’s compression products
    are “specially designed or adapted” for handicapped persons. The court also considers these
    factors useful in analyzing whether Plaintiff’s compression products meet the requirements of the
    Nairobi Protocol and HTSUS subheading 9817.00.96.
    III.   Classification of Plaintiff’s Graduated Compression Products
    After the court ascertains the proper meaning of the terms in the tariff provision, the court
    must determine next whether Plaintiff’s compression products fall within the parameters of the
    tariff provision. See Schlumberger Tech. Corp., 845 F.3d at 1162 (citing Sigma-Tau
    HealthScience, Inc., 838 F.3d at 1276). To prevail on its classification claims, Plaintiff must
    show that there is no genuine issue of material fact that its compression products are specially
    designed for the use of persons who have a physical handicap as defined by the Nairobi Protocol
    and implemented under HTSUS 9817.00.96.
    A. Graduated Compression Hosiery (Series 120, 145, 185)
    i.   Nairobi Protocol and HTSUS 9817.00.96
    Plaintiff contends that its graduated compression hosiery models are duty free under the
    Nairobi Protocol because they are specially designed for the use of individuals who suffer from
    the condition of CVD. See Pl. Br. 5–21.
    As a matter of law, the court must determine first whether CVD constitutes a physical
    handicap under the tariff provision. A physical handicap is a permanent physical impairment
    that substantially limits one or more major life activities such as walking or working. See U.S.
    Note 4(a), Subchapter XVII, Chapter 98, HTSUS. The court notes that the parties are in
    Court No. 11-00532                                                                        Page 18
    agreement that CVD is a mechanical problem of the lower limbs that results in a deficiency in
    the flow of blood due to weak, damaged, or otherwise compromised veins. See Def. Facts ¶ 9;
    Pl. Facts Resp. ¶ 9. It is undisputed that the condition is incurable and worsens over time,
    especially when left untreated. See Def. Facts ¶ 10; Pl. Facts Resp. ¶ 10. The CEAP scale is
    used to categorize the symptoms and the severity of CVD and its progressive stages. See Def.
    Facts ¶ 11; Pl. Facts Resp. ¶ 11. The symptoms experienced by people suffering from the early
    stages of CVD (CEAP grades C0–C2) include varicose veins as well as tired, heavy, and achy
    legs. See Def. Facts ¶¶ 11, 14–15; Pl. Facts ¶¶ 11, 14–15. A quarter of American adults have
    varicose veins, and many of those individuals do not suffer any discomfort or symptoms of
    CVD. See Def. Facts ¶ 20; Pl. Facts Resp. ¶ 20. People who suffer from symptoms associated
    with the more severe cases of CVD (CEAP grades C3–C6) (referred to as CVI) also experience
    swelling, skin damage, open wounds, or ulcers. See Def. Facts ¶ 12; Pl. Facts Resp. ¶ 12. The
    symptoms experienced in the early stages of CVD do not render a person physically handicapped
    within the meaning of HTSUS subheading 9817.00.96.
    Although Plaintiff argues that even the early stages of CVD significantly limit a person’s
    ability to walk, stand, or work, see Pl. Br. 5–10, Plaintiff’s own expert provided contrary
    deposition testimony establishing that people who suffer from early stages of CVD symptoms
    under CEAP grades C0–C2 are ambulatory and are generally able to perform daily tasks without
    substantial limitation. See Def. Ex. E at 55, 73–74, Mar. 10, 2016, ECF No. 61-5 (“Dr.
    Labropoulos Dep.”). These CVD patients may have varicose veins or tired, achy legs with some
    discomfort, but they are not prevented or considerably limited from walking, standing, or
    Court No. 11-00532                                                                           Page 19
    working. In a motion for summary judgment, “a party cannot rest upon mere allegations or
    denials and must point to sufficient supporting evidence.” See Anderson, 
    477 U.S. at
    248–49.
    The court considered numerous sources in ascertaining the proper meaning of the terms
    in the tariff provision, including the tariff heading, subchapter notes, dictionary definitions, the
    Parties’ submissions, documents and deposition transcripts in the record, and relevant case law.
    In the court’s view, individuals suffering from early stages of CVD are not substantially limited
    in their ability to perform major life activities and are not considered physically handicapped
    under the tariff provision.18
    The court must determine next whether Plaintiff’s compression hosiery is specially
    designed for the use of physically handicapped persons. The court considered a number of
    factors in making this determination, including the physical properties of the merchandise,
    whether the merchandise is solely used by the handicapped, the likelihood the merchandise is
    useful to the general public, whether the merchandise is sold in specialty stores, and the specific
    design of the merchandise. The products are made of synthetic fibers and appear to be ordinary
    hosiery and socks. See Def. Facts ¶ 6–7; Pl. Facts Resp. ¶ 6–7; see also Ex. A at 000029–30,
    000035. Plaintiff agrees that the hosiery is used by patients who suffer from CVD symptoms
    under CEAP grades C0–C2, indicating that the hosiery is useful to the general public and is not
    used solely by the physically handicapped. See Def. Facts ¶ 15; Pl. Facts Resp. ¶ 15. The
    models of compression hosiery are sold in medical supply stores and at pharmacies, but are also
    18
    The court does not need to determine whether the more severe symptoms of CVD (i.e., CVI)
    are a physical handicap because, as explained later in the opinion, the undisputed facts and
    evidence before the court establish that the subject hosiery is specially designed to alleviate the
    symptoms of CVD in its early stages and to slow the progression of the condition.
    Court No. 11-00532                                                                        Page 20
    sold over-the-counter or over the internet with no prescription required and are generally not
    covered by insurance. See Def. Facts ¶ 18; Pl. Facts Resp. ¶ 18. The hosiery is not sold under
    Plaintiff’s “Medical” line of compression products. See Def. Facts ¶¶ 2, 8, 19; Pl. Facts Resp.
    ¶¶ 2, 8, 19. All of the hosiery models are designed to apply 15–20 mmHg of compression to
    force blood out of the extremity and attempt to restore normal venous activity. See Pl. Facts
    ¶¶ 11, 13; Def. Facts Resp. ¶¶ 11, 13. The 15–20 mmHg of compression applied by the hosiery
    is lower than the 30-40 mmHg or higher compression levels of Plaintiff’s “Medical” line
    products, and 15–20 mmHg is the lowest level of compression products sold by Plaintiff. See
    Def. Facts ¶¶ 6–8; Pl. Facts Resp. ¶¶ 6–8; see also Ex. A at 000025, 000029–30, 000035,
    000268. The undisputed facts establish that Plaintiff’s compression hosiery is not specially
    designed for the handicapped.
    Despite Plaintiff’s contentions that its compression hosiery products are intended to
    alleviate the symptoms for CVI under CEAP grades C3–C6, see Pl. Br. 19–21, Plaintiff’s own
    advertising materials confirm that compression garments that exert compression of 15–20 mmHg
    are for (1) heavy, fatigued, tired legs; (2) prophylaxis during pregnancy; (3) prophylaxis for legs
    predisposed to risk; and (4) long hours of standing or sitting. See Ex. A. at 000268. Plaintiff’s
    advertising materials also state that graduated compression therapy is not recommended or
    suitable for bedridden or non-ambulatory patients. See 
    id. at 000269
    . This information indicates
    that the hosiery is recommended for patients suffering from early stages of CVD, not for patients
    who are bedridden or immobilized. Plaintiff’s medical expert noted that the level of 15–20
    mmHg of compression is only slightly greater than ordinary socks, which can apply about 5
    mmHg of compression. See Dr. Labropoulos Dep. at 104. Plaintiff’s experts indicated that the
    Court No. 11-00532                                                                            Page 21
    target consumers for hosiery with 15–20 mmHg of compression are “people who have a
    profession or live a lifestyle that results in tired, achy, heavy feeling in their legs” and “people
    who are sitting for prolonged periods of time,” such as people who take long flights in an
    airplane or drive long distances. See Def. Ex. C at 13, 18–19, Mar. 10, 2016, ECF No. 61-3
    (“Brannan Dep.”); see also Def. Ex. D at 21, Mar. 10, 2016, ECF No. 61-4. Mere allegations are
    insufficient to raise a genuine issue of a material fact on summary judgment, and Plaintiff’s own
    evidence supports the conclusion that its compression hosiery products are not specially designed
    for handicapped persons.
    Plaintiff attempts to argue that a patient might use 15–20 mmHg compression hosiery to
    alleviate severe symptoms of CVI in certain instances when the person cannot tolerate higher
    levels of compression or has too much difficulty putting on hosiery with greater compression.
    See Pl. Br. 20–21 (citing Joint Expert Report Ex. 1 at 163; Brannan Dep. 29, 31–33, 60; Dr.
    Labropoulos Dep. 16, 24–25, 106–07). Plaintiff’s argument is without merit. The court’s
    inquiry must focus on whether the product at issue is specially designed for handicapped persons
    according to the statutory meaning, not whether there is incidental use of the product that could
    assist handicapped persons in limited circumstances.
    The court holds that Plaintiff’s 15–20 mmHg compression hosiery products are specially
    designed to address symptoms of early stages of CVD, which does not fall within the parameters
    of the tariff provision because individuals suffering from early stages of CVD are not physically
    handicapped. The models of compression hosiery at issue in this case are not classifiable under
    HTSUS subheading 9817.00.96 and are not entitled to duty free treatment. Therefore, the court
    Court No. 11-00532                                                                                        Page 22
    denies Plaintiff’s motion for summary judgment seeking classification of its compression hosiery
    under HTSUS subheading 9817.00.96.
    ii.    HTSUS 6115.10.40
    Defendant argues in its cross-motion for summary judgment that the models of
    compression hosiery are classifiable under HTSUS subheading 6115.10.40, which covers the
    following merchandise:
    6115       Panty hose, tights, stockings, socks and other hosiery, including graduated
    compression hosiery (for example, stockings for varicose veins) and
    footwear without applied soles, knitted or crocheted:
    6115.10       Graduated compression hosiery (for example, stockings for
    varicose veins):
    ...
    Other graduated compression hosiery
    ...
    6115.10.40     Of synthetic fibers (632) . . . . . . . . . . . . . . . . . . . . . . 14.6%
    Subheading 6115.10.40, HTSUS. The court agrees that the hosiery is properly classified under
    this provision.
    The Explanatory Note to HTSUS subheading 6115.10 defines “graduated compression
    hosiery” as “hosiery in which the compression is greatest at the ankle and reduces gradually
    along its length up the leg, so that blood flow is encouraged.” Explanatory Note to Subheading
    6115.10, HTSUS. There is no dispute as to whether the hosiery imparts 15–20 mmHg of
    graduated compression. See Pl. Facts ¶ 6; Def. Facts Resp. ¶ 6; Def. Facts ¶¶ 3–4; Pl. Facts
    Resp. ¶¶ 3–4. Nor is there any dispute that the hosiery is knitted. See Pl. Facts ¶ 7; Def. Facts
    Court No. 11-00532                                                                         Page 23
    Resp. ¶ 7. The hosiery is made of nylon, spandex, or silicone, which are synthetic fibers. See
    Def. Facts ¶¶ 6–7; Pl. Facts Resp. ¶¶ 6–7. The court holds that the graduated compression
    hosiery are classifiable under HTSUS subheading 6115.10.40.19 The court grants Defendant’s
    cross-motion for summary judgment, therefore, seeking classification of the compression hosiery
    under HTSUS subheading 6115.10.40.
    B. Graduated Compression Arm-Sleeves and Gauntlets (Series 500)
    i.   Nairobi Protocol and HTSUS 9817.00.96
    Plaintiff contends that its Series 500 graduated compression arm-sleeves and gauntlets
    are duty free under the Nairobi Protocol because the products are specially designed for the use
    of individuals who suffer from upper-limb lymphedema. See Pl. Br. 5–21.
    The court must determine first whether upper-limb lymphedema constitutes a physical
    handicap under HTSUS subheading 9817.00.96. A physical handicap is a permanent or chronic
    physical impairment that substantially limits one or more major life activities, such as caring for
    one’s self, performing manual tasks, or working. See U.S. Note 4(a), Subchapter XVII, Chapter
    98, HTSUS. The Parties agree that lymphedema is “a chronic and incurable condition in which
    the patient’s lymphatic system does not function efficiently to recirculate lymph out of the
    19
    Customs classified a number of Plaintiff’s compression hosiery products as entered under
    HTSUS subheading 6115.10.05, a duty free provision. See Pl. Facts ¶ 3; Def. Facts Resp. ¶ 3;
    see also Summons. Neither Plaintiff nor Defendant contend that the hosiery products are
    classifiable under this tariff provision, but the court must determine “whether the government’s
    classification [was] correct.” Jarvis Clark Co., 
    733 F.2d at 878
    . HTSUS subheading 6115.10.05
    covers “[s]urgical panty home [sic] and surgical stockings with graduated compression for
    orthopedic treatment.” The court notes that the government’s classification of Plaintiff’s hosiery
    products under HTSUS subheading 6115.10.05 was incorrect because the products are not
    designed or intended for use as surgical compression stockings for orthopedic treatment. See
    Def. Facts ¶¶ 24–25; Pl. Facts Resp. ¶¶ 24–25.
    Court No. 11-00532                                                                            Page 24
    extremities.” Pl. Facts ¶ 14; Def. Facts Resp. ¶ 14. An improperly functioning lymphatic system
    causes lymphatic fluid and water to pool in the extremities, causing pain, swelling, sluggishness,
    and skin ulcerations. See Pl. Facts ¶¶ 14, 23; Def. Facts Resp. ¶¶ 14, 23; see also Def. Facts
    ¶ 21; Pl. Facts Resp. ¶ 21. Those with “improperly functioning lymphatic systems suffer from
    extremely swollen limbs due to retained lymphatic fluid.” See Pl. Facts ¶ 23; Def. Facts Resp.
    ¶ 23. Lymphedema can interfere with and impair certain life functions. See Pl. Facts ¶ 20; Def.
    Facts Resp. ¶ 20. Women who have had their lymph nodes damaged or surgically removed
    during a mastectomy to treat breast cancer suffer from upper-limb lymphedema. See Def. Facts
    ¶ 21; Pl. Facts Resp. ¶ 21; see also Pl. Facts ¶ 23; Def. Facts Resp. ¶ 23. In some cases, people
    who suffer from upper-limb lymphedema may be unable to use the affected arm because of
    significant swelling. See Def. Facts ¶ 23; Pl. Facts Resp. ¶ 23. According to the undisputed
    facts, the symptoms of upper-limb lymphedema can render a person physically handicapped
    within the meaning of HTSUS subheading 9817.00.96.
    The court does not give credible weight to the Government’s assertion that a person with
    one arm is able to perform life’s major activities without substantial limitation. See Def. Br. 20–
    21. Nor does the court agree with the Government’s position that upper-limb lymphedema is not
    a physical handicap because only patients with severe cases of lymphedema are unable to use the
    affected arm. See id. at 20. For purposes of tariff classification under the Nairobi Protocol, it is
    sufficient that the condition of lymphedema physically impairs some persons to such a degree
    that their ability to care for themselves or perform manual tasks is substantially limited.
    The court considered numerous sources in ascertaining the proper meaning of the terms
    in the tariff provision, including the tariff heading, subchapter notes, dictionary definitions, the
    Court No. 11-00532                                                                          Page 25
    Parties’ submissions, documents in the record, and relevant case law. The court concludes that
    upper-limb lymphedema resulting from a mastectomy may render the affected arm unusable
    because of significant swelling and substantially limits a person’s ability to care for one’s self.
    The court holds, therefore, that upper-limb lymphedema is a physical handicap within the
    meaning of HTSUS subheading 9817.00.96.
    The court must determine next whether Plaintiff’s compression arm-sleeves and gauntlets
    are specially designed for the use of physically handicapped persons. To make this
    determination, the court considered the physical properties of the merchandise, whether it is
    solely used by the handicapped, the likelihood the product is useful to the general public,
    whether it is sold in specialty stores, and the specific design. The undisputed facts establish that
    the Series 500 arm-sleeves and gauntlets are specially designed for handicapped persons within
    the meaning of the tariff statute. Unlike the hosiery products discussed above, the graduated
    compression arm-sleeves and gauntlets do not resemble any garments that are ordinarily worn by
    the general public. “Graduated compression forces blood and fluids (water, lymph) that have
    pooled in the extremity due to malfunctioning or damaged venous valves or lymphatic systems to
    circulate out of the extremity.” Pl. Facts ¶ 11; Def. Facts Resp. ¶ 11. “Forcing blood and other
    fluids upward, out of the extremity, prevents venous reflux or pooling, which causes . . . varicose
    veins, edema, and skin ulcerations.” Pl. Facts ¶ 13; Def. Facts Resp. ¶ 13. The arm-sleeves and
    gauntlets are designed to apply 30–40 mmHg of graduated compression to reduce swelling and
    force pooled lymph fluid to circulate out of the extremity. See Def. Facts ¶ 21; Pl. Facts Resp.
    ¶ 21; Pl. Facts ¶ 11; Def. Facts Resp. ¶ 11. The compression arm-sleeves and gauntlets are
    “predominantly worn” by women who suffer from upper-limb lymphedema, which has been
    Court No. 11-00532                                                                        Page 26
    caused by damaged or surgically removed lymph nodes during a mastectomy to treat breast
    cancer. See Def. Facts ¶ 21; Pl. Facts Resp. ¶ 21; Pl. Facts ¶ 23; Def. Facts Resp. ¶ 23; see also
    Brannan Dep. at 10, 51; Ex. A at 000025, 000268. Mastectomy patients “with improperly
    functioning lymphatic systems suffer from extremely swollen limbs due to retained lymphatic
    fluid.” Pl. Facts ¶ 23; Def. Facts Resp. ¶ 23. The arm-sleeves reduce swelling in the arm and the
    gauntlets reduce swelling in the hand. Def. Facts ¶ 21; Pl. Facts Resp. ¶ 21. The arm-sleeves
    and gauntlets are prescribed as a preventative measure for people who are expected to suffer
    from upper-limb lymphedema or as treatment for people who already suffer from upper-limb
    lymphedema. See Def. Facts ¶ 22; Pl. Facts Resp. ¶ 22; Pl. Facts ¶¶ 8, 17; Def. Facts Resp. ¶¶ 8,
    17. The Parties agree that the graduated compression arm-sleeves and gauntlets can alleviate the
    symptoms of upper-limb lymphedema. Def. Facts Resp. ¶ 21; Pl. Facts ¶ 21.
    The Government argues that the graduated compression arm-sleeves and gauntlets do not
    qualify for duty free treatment under the Nairobi Protocol because these are articles for a
    transient disability, which are expressly excluded from classification under the provision. See
    Def. Br. 17–21. The Government contends that the arm-sleeves and gauntlets are transient
    articles when they are prescribed for people who suffer from intermittent conditions or by
    patients after undergoing surgery. See id. at 21. The Parties agree, however, that the arm-
    sleeves and gauntlets are predominantly worn by women who have had their lymph nodes
    damaged or removed following a mastectomy to treat breast cancer, which results in
    lymphedema. See Def. Facts ¶ 21; Pl. Facts Resp. ¶ 21. Despite any incidental use by patients
    with transient disabilities, the arm-sleeves and gauntlets are primarily marketed and used for
    long-term management of lymphedema, not short-term post-surgical use. The undisputed
    Court No. 11-00532                                                                       Page 27
    evidence demonstrates that Plaintiff’s compression arm-sleeves and gauntlets are prescribed by
    doctors, and are specifically designed and marketed for individuals who are physically
    handicapped by upper-limb lymphedema resulting from a mastectomy.
    For these reasons, the court concludes that Plaintiff’s compression arm-sleeves and
    gauntlets are specially designed for the use of women who are rendered physically handicapped
    due to upper-limb lymphedema following a mastectomy. The court holds that Plaintiff’s Series
    500 graduated compression arm-sleeves and gauntlets are classifiable under HTSUS subheading
    9817.00.96 and are duty free as articles specially designed for handicapped persons.
    Accordingly, the court grants Plaintiff’s motion for summary judgment seeking classification of
    its compression arm-sleeves and gauntlets under HTSUS subheading 9817.00.96.
    ii.   HTSUS 6307.90.98 and 6116.93.88
    Defendant argues that the graduated compression arm-sleeves and gauntlets are
    classifiable under HTSUS 6307.90.98 and 6116.93.88, respectively. See Def. Br. 9–10. As
    explained above, Plaintiff’s imported Series 500 models of graduated compression arm-sleeves
    and gauntlets are classifiable under HTSUS subheading 9817.00.96 as articles specially designed
    for the use of physically handicapped persons and are entitled to duty free treatment. Thus, the
    court denies Defendant’s cross-motion for summary judgment seeking classification of the
    graduated compression arm-sleeves and gauntlets under HTSUS 6307.90.98 and 6116.93.88.
    CONCLUSION
    For the foregoing reasons, the court concludes that: (1) Series 120, 145, and 185 models
    of graduated compression hosiery were properly classified under HTSUS subheading 6115.10.40
    dutiable at 14.6% ad valorem; and (2) Series 500 graduated compression arm-sleeves and
    Court No. 11-00532                                                                       Page 28
    gauntlets are classifiable under HTSUS subheading 9817.00.96 and entitled to duty free
    treatment.
    Judgment will be entered accordingly.
    /s/ Jennifer Choe-Groves
    Jennifer Choe-Groves, Judge
    Dated: May 17, 2017
    New York, New York
    

Document Info

Docket Number: 11-00532

Citation Numbers: 2017 CIT 60, 227 F. Supp. 3d 1327

Judges: Choe-Groves

Filed Date: 5/17/2017

Precedential Status: Precedential

Modified Date: 1/13/2023

Authorities (19)

Barmag Barmer Maschinenfabrik Ag v. Murata MacHinery Ltd., ... , 731 F.2d 831 ( 1984 )

Universal Electronics Inc. v. United States , 112 F.3d 488 ( 1997 )

Warner-Lambert Co. v. United States , 407 F.3d 1207 ( 2005 )

E.T. Horn Company v. United States , 367 F.3d 1326 ( 2004 )

Cummins Incorporated (Formerly Known as Cummins Engine ... , 454 F.3d 1361 ( 2006 )

Richards Medical Company v. The United States , 910 F.2d 828 ( 1990 )

Marubeni America Corp. v. United States , 35 F.3d 530 ( 1994 )

Baxter Healthcare Corporation of Puerto Rico v. United ... , 182 F.3d 1333 ( 1999 )

The Mead Corporation v. United States , 283 F.3d 1342 ( 2002 )

Jarvis Clark Co. v. United States , 733 F.2d 873 ( 1984 )

Carl Zeiss, Inc. v. United States , 195 F.3d 1375 ( 1999 )

len-ron-manufacturing-co-inc-aramis-inc-doing-business-as-len-ron , 334 F.3d 1304 ( 2003 )

Processed Plastic Co. v. United States , 473 F.3d 1164 ( 2006 )

Benq America Corp. v. United States , 646 F.3d 1371 ( 2011 )

North American Processing Company v. United States , 236 F.3d 695 ( 2001 )

Rocknel Fastener, Inc. v. United States , 267 F.3d 1354 ( 2001 )

Richards Medical Co. v. United States , 13 Ct. Int'l Trade 519 ( 1989 )

Trumpf Medical Systems, Inc. v. United States , 34 Ct. Int'l Trade 1404 ( 2010 )

Anderson v. Liberty Lobby, Inc. , 106 S. Ct. 2505 ( 1986 )

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