OPINION
Appellant Karl Storz Endoscopy-America, Inc. (“Storz”) appeals the district court’s grant of summary judgment to ap-pellees Surgical Technologies, Inc. (“Sur-gi-Tech”) and Pacific Medical Repair (“Pacific”) on Storz’s trademark infringement claims.
I. BACKGROUND
A. Factual Background
Karl Storz GmbH & Co. (“KST”) has manufactured and sold Karl Storz rigid endoscopes for many years. Appellant Storz, a wholly-owned subsidiary of KST, is the exclusive United States distributor of Karl Storz rigid endoscopes. Endoscopes are precision surgical instruments used in many types of minimally-invasive surgical and diagnostic procedures, such as arthroscopy, urology and gynecology, to
Rigid endoscopes cost thousands of dollars. Therefore, when they become damaged, they are generally repaired rather than discarded. Appellee Surgi-Tech performed repairs to endoscopes and other medical instruments.
Surgi-Tech received broken endoscopes directly from hospitals and doctors, as well as from independent agents such as appel-lee Pacific. Surgi-Tech then performed the repairs requested by the doctor or hospital. After completing the repairs, Surgi-Tech returned the scopes to the owners, and the owners paid the repair charges. Because endoscopes must be sterilized before use, any shipping papers or labels from the repairer were not attached to the scopes when they were handed to surgeons in the operating rooms.
Surgi-Tech offered services ranging from minor repairs and cleaning to complete rebuilds. “Complete rebuilds” constituted approximately 20% of Surgi-Tech’s rigid endoscope repairs. An endoscope shaft that has been fractured or badly bent is not repairable because the bending or fracturing of the shaft shatters the internal lenses. Further, because the shaft is permanently welded to the block, a broken shaft cannot simply be replaced. Instead, the endoscope needs to be rebuilt, which involves meticulously disassembling the existing scope and then reconstructing it with replacements for the parts that need to be replaced. Surgi-Tech obtained the replacement parts for such rebuilds from various manufacturers. Storz asserts that Surgi Tech’s rebuilds replaced “essentially all of the endoscope’s functional parts,” retaining only the block element bearing Storz’s trademarks. Surgi-Tech also offered “relensing” among many other types of repair services. “Relensing” was less complicated than a complete rebuild but still involved replacing the endoscope’s lenses with lenses from various manufacturers. Although Surgi-Tech at one point etched a Surgi-Tech marking onto the endoscopes it repaired, it informed its dealers and employees in a May 10, 1996 letter that it would no longer do so because competitors were “bad-mouthing” Surgi-Tech’s work. Surgi-Tech explained that if Surgi-Tech repaired and labeled a scope, and another repair vendor later performed shoddy repairs without etching its own
Pacific solicits repair orders for endoscopes and other surgical equipment from hospitals, medical groups and other owners of those instruments. Either the owner or Pacific then sends the endoscope or other instrument to a third party repair facility such as Surgi-Tech. Pacific then monitors the status of the repairs for the owner and tracks the return of the instrument to the owner. Pacific then invoices the owner for the repairs. Pacific does not perform any repairs itself.
On several occasions, surgeons have complained to Storz’s sales representatives about the quality and performance of what the surgeons believed to be original Storz endoscopes but which, upon inspection by Storz, turned out to be Storz endoscopes repaired or rebuilt by some third party. Storz was not able to determine whether it was Surgi-Tech, versus another repair company, that had performed the repairs or rebuilds.
B. Procedural Background
Storz brought this action against Surgi-Tech and Pacific on April 2, 1998, alleging claims for trademark and trade dress infringement, unfair competition and passing off in violation of the Lanham Act, 15 U.S.C. § 1051 et seq., and for unfair trade practices in violation of California Business and Professions Code § 17200 et seq. On August 31, 1999, the district court granted summary judgment to Pacific (the “Pacific order”). On September 22,1999, the court granted in part and denied in part Surgi-Tech’s motion for summary judgment (the “Surgi-Tech order”).
In the Surgi-Tech order, the court held that although Storz had failed to raise an issue of material fact on the claim that Surgi-Tech’s repair and refurbishment of endoscopes for owners constituted a Lan-ham Act violation, material issues of fact were raised as to whether Surgi-Tech’s distribution of repaired endoscopes to entities other than original owners, such as third party dealers or other entities engaged in purchasing and reselling endoscopes to the general public, violated Storz’s trademark rights. In both the Pacific and Surgi-Tech orders, the court held that the repair and refurbishment of endoscopes does “not necessarily” constitute an unlawful “use in commerce” under the Lanham Act and that Storz had failed to raise a triable issue of material fact as to the likelihood of confusion.
On December 20,1999, the parties stipulated to dismissal of the remaining claims against Surgi-Tech to facilitate an immediate appeal. The district judge signed an order of final judgment on December 21, 1999, and the clerk entered final judgment on January 12, 2000. Storz filed its notice of appeal on January 20, 2000.
II. ANALYSIS
A. Likelihood of Confusion
The district court held that Storz failed to raise a triable issue of material fact as to the likelihood of confusion. We do not agree.
A district court’s grant of summary judgment is reviewed de novo. Interstellar Starship Servs., Ltd. v. Epix Inc.,
(1) Any person who shall, without the consent of the registrant—
(a) use in commerce any reproduction, counterfeit, copy, or colorable imitation of a registered mark in connection with the sale, offering for sale, distribution, or advertising of any goods or services on or in connection with which such use is likely to cause confusion, or to cause mistake, or to deceive; ...
shall be liable in a civil action by the registrant for the remedies hereinafter provided.
Section 1125(a)(1) provides:
Any person who, on or in connection with any goods or services, or any container for goods, uses in commerce any word, term, name, symbol, or device, or any combination thereof, or any false designation of origin, false or misleading description of fact, or false or misleading representation of fact, which' — •
(A) is likely to cause confusion, or to cause mistake, or to deceive as to the affiliation, connection, or association of such person with another person, or as to the origin, sponsorship, or approval of his or her goods, services, or commercial activities by another person ...
shall be liable in a civil action by any person who believes that he or she is or is likely to be damaged by such act.
“ ‘Likelihood of confusion’ is the basic test for ... trademark infringement.” Dr. Seuss Enters., L.P. v. Penguin Books USA, Inc.,
The law in the Ninth Circuit is clear that “post-purchase confusion,” ie., confusion on the part of someone other than the purchaser who, for example, simply sees the item after it has been purchased, can establish the required likelihood of confusion under the Lanham Act. See Acad. of Motion Picture Arts and Sciences,
B. Use in Commerce
Since Storz raised a material factual question as to the existence of customer confusion, we must address whether Surgi-Tech used Storz’s trademark in commerce. Although the district court based its decision on a finding that the repair and refurbishment of endoscopes at the request of owners does not create a likelihood of confusion, it also observed that the repair and refurbishment of endoscopes does “not necessarily” constitute an unlawful “use in commerce” under the Lanham Act. Since we may affirm a summary judgment on any ground finding support in the record, whether or not relied upon by the trial court, Jewel Cos., Inc. v. Pay Less Drug Stores Northwest, Inc.,
Under 15 U.S.C. § 1127, a mark is in “use in commerce” when (1) the mark has been placed on the goods or their containers, labels or the documents associated with the goods or their sale, and (2) the goods are “sold or transported in commerce.” 15 U.S.C. § 1127.
The “or transported” language of 15 U.S.C. § 1127 makes it clear that a “use in commerce” under the Lanham Act is not limited to sales. The sending of a product from Los Angeles to New York with its label attached so that its trademark could be registered has been considered transportation in commerce. See Drop Dead Co. v. S.C. Johnson & Son, Inc.,
Although Storz appears to acknowledge that repairs can be made to a trademarked good without violating the Lanham Act, Storz argues that this case presents unique facts because Surgi-Tech did not merely repair or refurbish endoscopes; it in some cases replaced every “essential” part of a scope and then simply attached this “new” scope to the old base bearing Storz’s trademark. Thus, Storz argues, the transaction was functionally equivalent to a “sale.” This argument has merit.
In some of Surgi-Tech’s rebuilds, the' customer-owner gave Surgi-Tech a broken Storz endoscope, and Surgi-Tech discarded every important part but retained the block. It discarded the long shaft which is inserted into the patient’s body cavity, the light post which focuses the light, the optic fibers that carry the light, the various lenses that magnify and focus the image, the eyepiece through which the surgeon looks and miscellaneous other parts. Sur-gi-Tech then proceeded to build a brand new scope using its own parts and attached to it the one piece from the Storz scope that it did not discard, namely the block which carries the Storz trademark. When the owner of the broken scope got back the rebuild, it paid Surgi-Tech a fee which covered the cost of the spare parts plus the skill in assembling them so that the rebuild would look and work more or less like a Storz scope. As a consequence, downstream consumers (here the doctors who use the scopes) were potentially deceived about the scope’s origin.
We conclude that where the substance of Surgi-Tech’s repair or rebuild was the construction of a different product associated with the Storz trademark, there was a use in commerce. See Rolex Watch, U.S.A., Inc. v. Michel Co.,
We do, however, recognize the right of property owners to repair or alter trademarked goods without implicating the Lanham Act. For example, if the owner chooses to buy aftermarket spare parts and do the repairs himself, there is no sale of a trademarked good in commerce, and hence no trademark infringement. Where the repair is done by an outside contractor, as is the case here, the question is whether the trademarked product is so altered that the substance of the transaction is a sale, and it would be misleading to sell the product without noting the alterations. See Champion Spark Plug Co. v. Sanders,
There is no brightline test for determining whether a company that repairs or reconstructs goods and retains the original manufacturer’s trademark on the goods is using the trademark in commerce. However, there are a number of factors to consider in determining whether the company has made a different product. Those factors include the nature and extent of the alterations, the nature of the device
C. Statute of Limitations and Lach-es
The district court considered and rejected without prejudice SurgiTech’s statute of limitations and laches arguments. Storz’s Lanham Act claims are subject to a three-year statute of limitations which began to run upon Storz’s actual or constructive knowledge of the wrong. See General Bedding Corp. v. Echevarria,
Surgi-Tech argues that although Storz was confronted no later than 1992 with endoscopes that had allegedly been inappropriately repaired by SurgiTech, Storz waited six years, until April 1998, to file suit. However, as Storz points out, Surgi-Tech’s own memorandum to its employees indicates that until May 1996 it etched its own mark onto the endoscopes it repaired. Storz’s claims are grounded in its contention that it is SurgiTech’s failure to mark the endoscopes it repaired that constitutes the wrongful conduct. Storz’s action, filed approximately two years after the allegedly wrongful conduct commenced, is not barred by the statute of limitations or the doctrine of laches.
III. CONCLUSION
Based on the foregoing, the district court’s grant of summary judgment in favor of Surgi-Tech and Pacific is REVERSED and the case is REMANDED for further proceedings consistent with this opinion.
Notes
. Storz also appeals the judgment entered against it on its claims under Section 17200 of the California Business and Professions Code. However, since these claims are “substantially congruent” to claims made under the Lanham Act, we do not separately address them except with respect to issues pertaining to the statute of limitations and laches. See Denbicare U.S.A. Inc. v. Toys “R” Us, Inc.,
. In January 1999, all of the assets of Surgi-Tech were sold to Allegiance Healthcare Corporation. Surgi-Tech then changed its name to Laszlo Medical Systems, a Florida Corporation. Laszlo Medical Systems no longer has any employees, and, as of June 11, 1999, was conducting no business of any kind.
. Pacific makes arguments similar to those raised by Surgi-Tech based on use in commerce and likelihood of confusion; Pacific does not argue that it has some separate defense or cannot be liable as a "middleman.”
