
    SIGVARIS, INC., Plaintiff, v. UNITED STATES, Defendant.
    Slip Op. 17-60
    Court No. 11-00532
    United States Court of International Trade.
    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.
   OPINION

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 Schedule of the United States (“HTSUS”). 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 “[ajrticles specially designed or adapted for the use or benefit of the blind or other physically or mentally handicapped persons.” 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 Plaintiffs 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 HTSUS subheading 6115.10.40 as “[ojther graduated compression hosiery: ... [o]f synthetic fibers”; and (2) grants Plaintiffs 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 (“PI. 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 2Q08 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 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 four-chettes” 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 Plaintiffs protests were deemed denied by Customs on December 12, 2011. 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; 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; pi. 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, EOF No. 56-4 (“Ex. A”). The compression applied by the hosiery is greatest at the ankle and gradually decreases as the stocking moves up the leg, 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 f 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 CO, small varicose veins are classified under Cl, 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; 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 IT 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 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; 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.” Def. Facts ¶ 25; PL Facts Resp. ¶ 25.

The imported models of graduated compression arm-sleeves and gauntlets can alleviate the symptoms of upper-limb lymp-hedema. See PI. Facts IT 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; PI. Facts Resp. ¶ 21; see also PI. 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; PI. Facts Resp. ¶ 21. The arm-sleeves and gauntlets are prescribed as a preventative measure for people who are expected to suffer from upper-limb lymp-hedema or as treatment for people who already suffer from upper-limb lymphede-ma. See Def. Facts ¶ 22; PI. Facts Resp. ¶ 22; PI. 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; PI. Facts Resp. ¶ 22.

JURISDICTION AND STANDARD OF REVIEW

The court has jurisdiction pursuant to 28 U.S.C. § 1581(a) (2006) and 19 U.S.C. § 1515 (2006). The court will grant summary judgment if “the movant shows that there is no genuine 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, 106 S.Ct. 2505, 91 L.Ed.2d 202 (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. “[Wjhen 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 nemo. 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 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 ... 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 PI. Br. 3-21. Defendant contends that Customs correctly classified Plaintiffs 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 Plaintiffs compression products meet the requirements for duty free treatment under the Nairobi Protocol as implemented by HTSUS subheading 9817.00.96.

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 Plaintiffs 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 1982 and the Omnibus Trade and Competitiveness Act 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 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), Sub-chapter 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 impairment must be permanent as opposed to transient, and chronic as opposed to acute. The article cannot be designed to impart a cosmetic benefit to those who are not substantially disabled. The subheading does not cover therapeutic articles, 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). Nor does the provision cover diagnostic articles, 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. 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 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 Plaintiffs compression products are “specially designed or adapted” for handicapped persons. The court also considers these factors useful in analyzing whether Plaintiffs 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 Plaintiffs 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 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; PI. Facts Resp. ¶ 9. It is undisputed that the condition is incurable and worsens over time, especially when left untreated. See Def. Facts ¶ 10; PI. 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; PI. 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; PI. 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; PI. 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; PI. 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 PI. Br. 5-10, Plaintiffs 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 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, 106 S.Ct. 2505.

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.

The court must, determine next whether Plaintiffs 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; PI. Facts Resp. ¶ 15. The models of compression hosiery are sold in medical supply stores and at pharmacies, but are also sold over-the-counter or over the internet with no prescription required and are generally not covered by insurance. See Def. Facts ¶ 18; PI. Facts Resp. ¶ 18. The hosiery is not sold under Plaintiffs “Medical” line of compression products. See Def. Facts ¶¶ 2, 8,19; PI. 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 Plaintiffs “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 Plaintiffs compression hosiery is not specially designed for the handicapped.

Despite Plaintiffs contentions that its compression hosiery products are intended to alleviate the symptoms for CVI under CEAP grades C3-C6, see PI. Br. 19-21, Plaintiffs 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. Plaintiffs 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. Plaintiffs 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. Plaintiffs experts indicated that the 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 Plaintiffs 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 PI. Br. 20-21 (citing Joint Expert Report Ex. 1 at 163; Brannan Dep. 29, 31-33, 60; Dr. La-bropoulos Dep. 16, 24-25, 106-07). Plaintiffs 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 Plaintiffs 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 denies Plaintiffs 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; PI. Facts Resp. ¶¶ 3-4. Nor is there any dispute that the hosiery is knitted. See Pl. Facts ¶7; Def. Facts 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. 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 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; PI. Facts Resp. ¶ 21; see also PI. Facts ¶ 23; Def. Facts Resp. ¶ 23. In some cases, people who suffer from upper-limb lymphede-ma may be unable to use the affected arm because of significant swelling. See Def. Facts ¶ 23; PI. 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 Parties’ submissions, documents in the record, and relevant case law. The court concludes that upper-limb lymp-hedema 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 Plaintiffs 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.” PI. 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.” PI. 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; PI. 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 caused by damaged or surgically removed lymph nodes during a mastectomy to treat breast cancer. See Def. Facts ¶ 21; PI. Facts Resp. ¶ 21; PI. 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.” PI. 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; PI. 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 lymphede-ma, not short-term post-surgical use. The undisputed evidence .demonstrates that Plaintiffs 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 Plaintiffs compression arm-sleeves and gauntlets are specially designed for the use of women who are rendered physically handicapped due to upper-limb lymp-hedema following a mastectomy. The court holds that Plaintiffs 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 Plaintiffs 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, Plaintiffs 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 gauntlets are classifiable under HTSUS subheading 9817.00.96 and entitled to duty free treatment.

Judgment will be entered accordingly. 
      
      . 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.
     
      
      . 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.
     
      
      . 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).
     
      
      . 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.
     
      
      . “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.
     
      
      . Further citations to Title 28 of the U.S. Code are to the 2006 edition.
     
      
      . 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.
     
      
      . See Pub. L. No. 97-446, 96 Stat. 2329, 2346 (1983).
     
      
      . See Pub. L. No. 100-418, 102 Stat. 1107 (1988).
     
      
      . 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).
     
      
      . 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).
     
      
      . 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).
     
      
      . Acute is defined as "having a sudden onset, sharp rise, and short course.” See Webster’s Third New International Dictionary 23 (unabr. 2002).
     
      
      . 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).
     
      
      . 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).
     
      
      . 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.
     
      
      . 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).
     
      
      , 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.
     
      
      . Customs classified a number of Plaintiffs 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.
     