Case Law[2022] ZAGPJHC 494South Africa
Homemed (PTY) Ltd v Claasen and Others (2022/004040) [2022] ZAGPJHC 494 (1 August 2022)
High Court of South Africa (Gauteng Division, Johannesburg)
1 August 2022
Judgment
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# South Africa: South Gauteng High Court, Johannesburg
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## Homemed (PTY) Ltd v Claasen and Others (2022/004040) [2022] ZAGPJHC 494 (1 August 2022)
Homemed (PTY) Ltd v Claasen and Others (2022/004040) [2022] ZAGPJHC 494 (1 August 2022)
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sino date 1 August 2022
REPUBLIC
OF SOUTH AFRICA
IN
THE HIGH COURT OF SOUTH AFRICA
GAUTENG
DIVISION, JOHANNESBURG
CASE
NO: 2022/004040
REPORTABLE:
No
OF
INTEREST TO OTHER JUDGES: No
1/8/2022
In
the matter between:
HOMEMED (PTY)
LIMITED
Applicant
and
PETRUS
JACOBUS CLAASEN
First Respondent
EXPERT
LABORATORY SERVICES (PTY) LIMITED
Second Respondent
THE
SOUTH AFRICAN HEALTH PRODUCTS
Third Respondent
REGULATORY
AUTHORITY
JUDGMENT
This
judgment is deemed to be handed down upon uploading by the Registrar
to the electronic court file.
Gilbert
AJ:
1. The
applicant seeks on an urgent basis various interdictory relief
pending the finalisation of an action restraining
the first and
second respondents from trading in competition with the applicant in
Drugs of Abuse (“DOA”) rapid screening
tests.
2. In
essence, the applicant contends that:
2.1.
the first respondent (“Claasen”) is in breach of
restraint of trade and confidentiality undertakings
given by him in
2009, and further in breach of renewed confidentiality undertakings
given by him in 2019, in favour of the applicant
as his then employer
by taking up employment with the second respondent (“ELS”),
which has recently become a direct
competitor of the applicant, and
is pursuing the applicant’s customers in the DOA rapid
screening test market;
2.2.
Claasen and ELS are utilising the applicant’s customer
connections and confidential information which
Claasen built up on
the applicant’s behalf during his lengthy employment with the
applicant to compete unlawfully with the
applicant in the DOA rapid
screening test market;
2.3.
ELS is, in any event, competing unlawfully in the DOA rapid screening
test market in that it does not have
a medical establishment licence
as required in terms of the regulatory regime imposed by the third
respondent (“SAHPRA”)
under the Medicines and Related
Substances Act, 101 of 1965 (“the Medicines Act”) and its
accompanying Regulations
and directives.
3.
The
applicant contends that it seeks interim relief in both form and
substance, which is pending the finalisation of an action to
be
instituted within 30 days of the order in which the applicant
presumably will seek final relief to similar effect.
[1]
4. Unsurprisingly
in matters of this nature, Claasen and ELS who oppose the relief (and
who will be referred to
as ‘the respondents”), contend
that the relief is final in effect in that by the time the trial
action is finalised
the period of restraint would have run out.
Therefore, they argue, in looking at substance rather than form, the
relief sought
was final relief and therefore the applicant had to
satisfy the requirements for final interdictory relief, relying upon
the well-known
BHT Water Treatment (Pty) Limited v Leslie and
another
1993 (1) SA 47
(W). The applicant argued that the relief
nonetheless remained interim relief and so that it need only satisfy
the requirements
for an interim interdict. Although not referenced by
the parties, the applicant’s position is supported by
Radio
Islam v Chairperson, Council of the Independent Broadcasting
Authority and another
1999 (3) SA 897
(W), which differs from
BHT
.
5.
I will return to this aspect later in the judgment.
6.
The papers are voluminous. The affidavits in the application alone
exceed 670 pages. In addition, the parties
delivered various
confidential affidavits, which themselves numbered some 211 pages,
some of which were only made available to
the court at the
commencement of the hearing. While these two bundles of affidavits do
contain many annexes, as would be expected,
including of a very
detailed nature, they also contain hundreds of pages of affidavits.
7.
It is a challenge for a busy urgent court to be able to digest such
volumes, particularly in what is not garden-variety
restraint and
unlawful competition litigation. I enquired of the parties now that
the matter was ripe for hearing (as they have
managed to achieve an
exchange of all the affidavits that they wished and also
comprehensive heads of argument - for which I am
indebted to counsel)
whether they were amenable to approaching the ordinary opposed motion
court which would have more time to
consider and determine the
matter, the indications being that the matter could be heard by that
court in October 2022. The applicant’s
counsel submitted that
would be too late in relation to what the applicant contends is the
on-going prejudice that it suffers by
the continued daily trading by
ELS in the products.
8.
And so, as the parties understandably appreciated, that should the
urgent court hear the matter (as the respondents
argued that the
matter was not urgent and so should not be heard at a;; by the urgent
court as it lacked urgency), it came with
the limitations inherent in
an urgent court hearing a voluminous matter of particular complexity.
9.
I am satisfied that a sufficient case for urgency has been made out,
particularly given the nature of the relief
sought in what is a
complex commercial matter. There is an inherent urgency to restraint
litigation, and in my view the applicant
has not unreasonably delayed
in launching these proceedings. The applicant's stipulated timetable
for the exchange of affidavits
as provided for in its notice of
motion ultimately proved effective given that the matter as between
the parties was ripe for hearing
by the urgent court, notwithstanding
the numerous affidavits that have been exchanged.
10. The
applicant is an established supplier of medical devices and
diagnostic tests. It was established some sixteen
years ago in 2006.
It supplies a wide range of rapid diagnostic test and medical
devices, including Glucose, HbAlc, Cholesterol,
Cardiac Markers, HIV,
Malaria, PSA, Pregnancy, Urinalysis and Drugs of Abuse (“DOA”)
products. The applicant’s
range of Drugs of Abuse products is
extensive. These include the DoA rapid testing products that ELS
markets in competition.
11. In
contrast, ELS is a relatively new business, having commenced business
in March 2021 as a forensic toxicology laboratory.
ELS was founded by
Dr Johannes Laurens (“Dr Laurens”) and Ms Maraliese
Jordaan (“Ms Jordaan”), who are
its protagonists, who
have filed affidavits supporting Claasen’s answering affidavit.
12. Between
Dr Laurens and Ms Jordaan, they have over 40 years’ experience
in the field of workplace drug testing.
Dr Laurens is a medical
biochemist and forensic toxicologist. He holds an honour’s
degree in chemistry, a master’s
degree in physical chemistry, a
doctor’s degree in analytical chemistry and a master’s
degree in applied toxicology.
Ms Jordaan is a medical scientist. She
holds a bachelor’s degree in human Physiology and Psychology, a
bachelor’s degree
in Chemical Pathology and a master’s
degree in Chemical Philology.
13.
Dr Laurens and Ms Jordaan’s working relationship started at the
Lancet Toxicology Centre in 2004. In 2009,
Dr Laurens and Ms Jordaan
established the forensic toxicology lab at the University of Pretoria
(“the UP Lab”).
14. During
their time at the UP Lab, which spanned over a decade, Dr Laurens and
Ms Jordaan: (i) performed and/or oversaw
more than 50 000 drug
confirmation tests; (ii) presented more than 150 invited seminars on
the issue of workplace drug testing;
(iii) advised multiple
industries on drug and alcohol testing policy matters and testing
strategies; (iv) provided expert witness
testimony in court cases and
disciplinary hearings; (v) provided scientific and general advice to
DOA screening test suppliers,
including to the applicant, regarding
minimum product specifications, quality, minimum operational criteria
and the cross-reactivity
of certain substances with drug tests..
15.
It is undisputed on the facts that ELS is seeking to expand from a
forensic toxicology laboratory which performs
inter alia
‘confirmation testing’ (and in which Dr Laurens and Ms
Jordaan have participated for years) into distributing
the DOA rapid
screening tests themselves (in which the applicant is an established
player). Should ELS be restrained from
doing so, it would not
affect its primary business of a forensic toxicology laboratory. On
the other hand, as the respondents argue,
the DOA rapid testing
business of the applicant only constitutes a portion of its overall
business, albeit that it has been conducting
that part of its
business for many years. Either way, it does not appear from the
papers that the grant or refusal of the interdictory
relief, as the
case may be, will result in the demise of either the applicant or ELS
as corporate trading entities.
16. The
position of Claasen is that should the interdictory relief be granted
restraining him from being employed by
ELS in the DOA rapid testing
market, he would then be restrained from being employed in the field
where he has particular experience.
The prejudice suffered by Claasen
is therefore not quite of the same nature as that which may be
suffered by the applicant and
ELS as the trading entities. During
argument, applicant’s counsel pointed out and as appears from
paragraphs 220 and 221
of the founding affidavit, the applicant’s
concern with Claasen as their erstwhile employee being employed by
ELS is not
that he is per se employed by ELS, but rather that his
employment by ELS was specifically for competing in the DOA rapid
screening
testing market.
17. The
applicant’s interdictory relief as appears from the notice of
motion and the founding affidavit is founded
primarily on three
pillars.
18. The
first pillar is directed at Claasen as the applicant’s
erstwhile employee who undertook various contractual
restraints and
confidentiality undertakings in favour of the applicant. The
applicant contends that Claasen’s taking up of
employment with
ELS following his resignation from the applicant in January 2022 and
in using what the applicant says is its customer
connections and
confidential information results in breaches of those contractual
undertakings.
19.
Claasen
commenced employment with the applicant in 2006 as a sales
representative. On 7 December 2009 Claasen signed an employment
agreement as the a regional sales manager, which contained both a
three-year restraint and confidentiality undertaking.
[2]
20.
On
14 December 2011 Claasen was called upon to again sign a
employment agreement, which he did as a key account manager,
[3]
but which did not include his signature of a 12-month restraint of
trade undertaking that was attached as annexure “C”
[4]
to that agreement. While during argument there appear to be some
debate as to whether Claasen may had agreed to this restraint
of
trade given the manner in which he had signed and initialled the
documents, the applicant accepted that the case that it sought
to
make out against Claasen in the affidavits based upon the restraint
undertakings, in contrast to the confidentiality undertakings,
was
based upon the 2009 restraint of trade undertaking, and not the 2011
agreement or any later agreement.
21.
The
applicant underwent various restructuring and required its employees
to reapply for new positions. Claasen did so and was appointed
as the
corporate health and sales manager in May 2019. He again signed an
employment agreement, containing the presently relevant
confidentiality undertakings.
[5]
Claasen, on the common cause facts, refused to sign the attached
restraint of trade undertaking. That unsigned restraint of trade
agreement reflects an express manuscript annotation made by the
applicant’s relevant representative at the time that Claasen
“’
[d]oesn’t
want to sign
”.
[6]
22.
Of some significance, it is Claasen that attaches the unsigned 2019
restraint undertaking to his answering
affidavit, to demonstrate what
he contends is his deliberate decision not to commit to a restraint
undertaking, as distinct from
the confidentiality undertakings.
23.
The applicant, as stated, does not rely on any restraint of trade
other than that signed by Claasen in 2009,
which is for three years
after he ceased his employment. The applicant also relies upon
Claasen’s confidentiality undertakings
(as distinct from the
restraint of trade undertakings) in Claasen’s most recent
employment contract of May 2019.
24.
It is common cause that Claasen resigned in January 2022 and took up
employment with ELS as the sales and
marketing director (as well as a
directorship and shareholding) where he is presently engaged in
competing with the applicant in
the DOA rapid screening testing
market.
25.
Amongst the grounds of opposition raised by Claasen to the
enforcement of the restraint is that the restraint
undertakings given
by him in 2009 were either novated by the subsequent employment
agreements where he did not, deliberately, undertake
any restraint
undertakings, alternatively that the applicant in failing to insist
that he sign the subsequent restraints in 2011
and 2019 had waived
its entitlement to rely on the 2009 restraint and/or that such
conduct by the applicant constituted an representation
by omission
that the applicant did not regard Claasen as bound by a restraint of
trade and so that the applicant is now estopped
from relying upon the
historical 2009 restraint.
26.
The second
pillar of the relief sought by the applicant is that Claasen in any
event as well as ELS as the second respondent are
restrained under
common law from competing unlawfully with the applicant on the basis
that the respondents are making use of the
applicant’s customer
connections and confidential information as a springboard to compete
with it. The applicant relies upon
the two usual forms of proprietary
interests, namely customer connections and confidential information
(trade secrets). The confidential
information, the applicant alleges,
consists of information relating to the applicant’s suppliers,
customers and their requirements,
the formulation of product and
customer strategies, pricing and costing strategies including the
formulation and negotiation of
discounts and rebates, profit margins
for all products, overall sales figures of the applicant, including
its performance and sales
trends.
[7]
27.
The respondents’ opposition to this category of relief is
wide-ranging and includes challenging the
proprietary interests
asserted by the applicant.
28.
Much of the
affidavits are directed at these disputes as to whether the applicant
has proprietary interests deserving of protection.
For example, the
respondents deny that the customer connections are those of the
applicant, at least exclusively, asserting that
the protagonists
behind ELS, namely Dr Laurens and Ms Jordaan have over the years
established their own relationships with many
of the customers that
the applicant contends are theirs, and so the applicant cannot
contend for those customers moving with Claasen
‘in his pocket’
to ELS.
[8]
29.
The respondents also challenge the confidential nature of the
confidential information asserted by the applicant
as well as the
usefulness of that information to ELS.
30.
What also
features prominently in the affidavits and in the argument before me
is what is to be made of the conduct of Claasen commencing
in
March 2021, which was some time before he resigned from
applicant’s employee in January 2022. There is no dispute
that
an exchange of emails took place at the instance of Claasen
commencing March 2021 while he was still employed with the applicant
with
inter
alia
Dr Laurens
and Ms Jordaan after they had established ELS.
[9]
Mr Botha SC for the applicant argued with vigour that on the
applicant’s interpretation of the facts this demonstrates that
from as early as March 2021 Claasen while still an employee of the
applicant had in concert with ELS began to take steps towards
setting
up ELS in competition with the applicant in the DOA rapid testing
screening market. The email exchanges include Claasen
sending a
customer list to
inter
alia
Dr
Laurens and Ms Jordaan at ELS. Mr Michau SC for the respondents
on the other hand argued with equal vigour that there is
no merit in
this and advance their own, innocent, explanation for the exchange of
these emails.
31.
As each parties’ senior counsel argued why their submitted
interpretation of the facts was so clear that the
other parties’
version must be rejected as far-fetched and fanciful, what did become
clear is that a motion court, and more
so an urgent court, would not
be able to make any final finding on this aspect. As will appear for
reasons that follow later, it
is undesirable for me as an urgent
court to express any views on this dominant dispute between the
parties given that such dispute
would probably feature prominently in
further litigation between the parties.
32.
The third pillar of the relief sought by the applicant is to rely
upon a second and distinct species of unlawful
competition, namely
that ELS was competing unlawfully with the applicant in that it was
not licenced to participate in the DOA
rapid screening testing
market. It is now to that relief that I turn as a determination in
relation thereto provides a basis to
decide what to do in relation to
the applicant’s remaining pillars of relief.
33.
The applicant contends that DOA rapid screening tests are “
medical
devices
” as defined in the Medicines Act, and more
particularly Class B medical devices. The applicant’s argument
continues
that in terms of section 22C(1)(b) as read with section
22C(6) of the Medicines Act, a distributor of a medical device must
have
a medical establishment licence.
34.
As it is common cause that ELS, a distributor, does not have such a
licence, the applicant argues that ELS
by trading contrary to a
statutory prohibition requiring it to be licenced constitutes a form
of unlawful competition entitling
the applicant to interdictory
relief.
35.
The main
basis of opposition by ELS is to dispute that the DOA rapid screening
tests are ‘medical devices’ as defined,
but if they are
medical devices, then they are not Class B devices but rather
non-measuring, non-sterile Class A medical devices,
for which no
medical establishment licence is necessary in terms of a exclusion in
a directive issued in 2017 by the regulatory
authority [“the
2017 Directive”].
[10]
36.
The respondents do not dispute, justifiably, that should ELS be
required to have a medical establishment licence,
their distribution
of the products where such a licence is required, would constitute an
actionable form of unlawful competition
entitling the applicant to
relief. For example, in the
locus classicus
of
Patz v
Greene & Co
1907 TS 427
the competing respondent carried on
business as a general dealer, butcher and eating-house in close
proximity to the applicant
in circumstances where the respondent was
not licenced to do so. The Full Bench of this Division found that
such illegal trading
can sustain an interdict at the instance of the
licenced party, and granted relief.
37.
A more
recent decision, closer to the present facts, is
Ingelheim
Pharmaceuticals (Pty) Limited v Novartis SA (Pty) Limited and another
[2005]
4 All SA 453
(W) where the court granted an interdict restraining a
competitor selling its own unregistered tonic in competition with the
applicant’s
registered tonic where that tonic was required to
be registered as a medicine under the Medicines Act. The respondent
was interdicted
from dealing in its tonic while that product remained
unregistered.
[11]
38.
ELS do not seriously dispute that if the products are ‘medical
devices’, and, if so, if those medical
devices did not fall
within the exclusion, that it would be precluded from trading in
those product. Section 22C(6) of
the Medicines Act expressly
provides that “
[n]o medical device or IVD establishment,
manufacturer, wholesaler or distributor referred to in
subsection 1(b) shall manufacture,
act as a wholesaler of or
distribute, as the case may be, any medicine, scheduled substance,
medical device or IVD unless he or
she is the holder of a licence
contemplated in the said subsection
”. Section 22C(1)(b)
provides for SAHPRA upon for application in the prescribed manner and
on payment of the prescribed fee
to issue to a medical device or IVD
establishment, manufacturer, wholesaler or distributor of
inter
alia
a medical device, a licence to manufacture, import, export,
act as a wholesaler of or distribute, as the case may be, such
medical
device upon such conditions as to the application of such
acceptable quality assurance principles and good manufacturing and
distribution
practices as SAHPRA may determine.
39.
The two central issues for the court to consider at this stage based
upon ELS’ grounds of opposition are (i)
whether the DoA rapid
screening tests are ‘medical devices’ as envisaged in the
Medicines Act, and (ii) if so, whether
they fall within the exclusion
provided for in the 2017 Directive.
40.
First it is necessary determine the threshold that the applicant
needs to satisfy in these proceedings in relation
to these two
issues. This requires a consideration of whether the relief that the
applicant seeks under this pillar is interim
relief or final relief.
41.
The
applicant seeks that pending the finalisation of an action to be
instituted within 30 days of this order ELS as the second respondent
be interdicted and restrained from distributing the products until
ELS has been licenced to do so by SAHPRA in terms of the Medicines
Act. This relief is cast in the form of interim relief,
[12]
but the respondents contend nonetheless that it is final in effect.
42.
Keightley J,
also sitting as an urgent court, in
Andalusite
Resources (Pty) Limited v Investec Bank Limited and another
2021
(1) SA 140
(GJ) had to wrestle with this issue. When presented with
the divergence of the authorities in this Division presented by
BHT
and by
Radio
Islam
,
which ultimately Keightley J found that she need not resolve
because of the nature of the interdict being sought before her
(which
was not a restraint of trade of a limited duration), had the
following to say
[13]
:
“
[19] To date
there has been no finality as to which of these decisions is correct.
The most recent authority to give consideration
to the issue was the
Supreme Court of Appeal in Cipla. Neither the minority nor the
majority judgment made a determination on whether
the BHT or the
Radio Islam line of authority was correct. The minority judgment
assumed, without deciding, that BHT was correct.
However, the
majority considered that —
'it (was not)
necessary or advisable to express an opinion on the correctness or
otherwise of the approach taken by the court of
first instance in
BHT. That issue may arise for consideration in another matter. It
does not arise here. This appeal raises four
square the time-honoured
criteria as to what is meant by "final in effect" in
distinguishing between interlocutory and
final interdicts. It does
not implicate the correctness or otherwise of BHT.'
[20]
As Rogers AJA
pointed out in the minority judgment in Cipla:
'An interim
interdict pending the determination of an action is not final in
effect, which is why matters decided for purposes of
granting an
interim interdict do not become res judicata.'
This is because the
interim order does not finally dispose of the rights between the
parties: the lis between them remains to be
disposed of in the
pending main proceedings. In my view this explains why the court in
BHT found that the effect of the interdict
in that case was final.
For all practical purposes, in that case the lis between the parties
would not be finally resolved before the restraint period
ended and
the interdict fell away. So, the interim interdict gave full (and
final) effect to the applicant's right to restrain
the respondent
from taking up other employment for the entire restraint period,
notwithstanding that the applicant's right to do
so was in dispute.
It is for this reason that the BHT approach has been applied, in
some cases, in circumstances where the rights underpinning the
interdict are time-bound as in, for example, restraint of trade
cases
.
[21] However, it is
important in this regard to distinguish between the effect of the
interdict on the disputed right itself, on
the one hand, and its
effect on the object of that right, on the other. In the present case
the grant of the interdict will not
have any final effect on the
underlying, but disputed, right of Investec to enforce its cession
over the bank account. This is
a matter that will be determined in
due course by the court in the money judgment application. What the
interdict would have a
final effect on is the current object of that
right, viz the moneys in respect of which it would otherwise be
permitted to enforce
its right of cession. If the interdict were to
be granted, and Investec were later to be vindicated in its money
judgment, its
right of cession would be fully effective once again.
The difference then would be that it would be exercised over a
different
object, viz the moneys then standing to the credit of the
account. Thus, although it would never be able to exercise its right
again over moneys paid out while the interdict was in place, it
nonetheless could exercise its right over new moneys coming in.
The
important point, in my view, is that the interdict will not have any
final effect on Investec's right of cession, but only
on the object
of Investec's right.
[22] It is not
necessary for me to make any finding as to whether the court in BHT
was correct. Even if I were to follow BHT, as
Investec suggests, the
present case does not fall into the same category.
The interdict,
if granted, will not have final effect on Investec's rights. The
rights of the parties in respect of the bank account
will be finally
determined by the court in the money judgment
. What will be
affected is Investec's access to, and preservation of, the moneys
currently standing to the credit of the bank account.
In this
respect, undoubtedly there will be prejudice to Investec. It will
never be able again to assert its rights over the funds
disbursed
from the account. However, it is not every kind of prejudice that is
relevant to determining whether an interdict will
have final or only
interim effect. As the majority in Cipla noted:
'(I)t has been
consistently held that "final in effect" means that an
issue in the suit has been affected by the order
such that the issue
cannot be revisited either by the court of first instance or that
hearing the action
.'
”
[14]
43.
In my view,
the right underpinning the interdict under this pillar is not
necessarily time-bound
[15]
as
it may endure indefinitely as ELS may never be licensed. This can be
contrasted to an interdict under the first two pillars,
where the
underlying rights would be time-bound, whether by the period of the
contractual restraint or the shelf-life of the usefulness
of the
confidential information and customer connections. I therefore
too
[16]
need not find which of
the
BHT
or
Radio
Islam
lines of authority is to prevail when dealing with relief that is
time-bound.
44.
Applying
Keightley J’s analysis to the present pillar of interdictory
relief, should I make an interim order it would not
finally dispose
of the rights between the parties in that the trial court would
itself have to revisit the disputed issues and
decide those issues
for itself. My finding whether the products constitute medical
devices that fall outside the exclusion would
not be
res
judicata
.
[17]
It will be for the trial court to finally decide whether the products
are medical devices, and if so, excluded devices. I therefore
find
that the applicant needs to establish the requirements for interim
interdictory relief rather than final interdictory relief.
45.
This entails the applicant establishing
inter alia
that it has
a
prima facie
right, although open to some doubt.
46.
Whereas the applicant’s case is that the DOA rapid screening
tests are non-exempted Class B medical devices
under the Medicines
Act, ELS contends that the products tests are not ‘medical
devices’ but if they are, then they
are exempted Class A
medical devices under the 2017 Directive as they are non-measuring
non-sterile devices.
47.
To the extent that this involves a dispute of fact, the test to be
applied at this stage in these interim proceedings
is that stated in
Simon NO v Air Operations of Europe AB and others
1991
(1) SA 217
(SCA) at 228 G-H, where the relevant test in
Webster v
Mitchell
1948 (1) SA 1186
(W) at 1189, as modified in
Gool v
Minister of Justice and another
1995 (2) SA 682
(C) at 688 B-F,
was summarised:
“
The accepted
test for a prima facie right in the context of an interim interdict
is to take the facts averred by the applicants,
together with such
facts as set out by the respondent that are not or cannot be disputed
and to consider whether, having regard
to their inherent
probabilities, the applicants should on those facts obtain final
relief at the trial. The facts set up in contradiction
by the
respondent should then be considered and, if serious doubt is thrown
upon the case of the applicant, he cannot succeed”
.
[18]
48.
The definition of ‘medical device’ in the Medicines Act
is wide:
““
medical
device”
means any
instrument, apparatus, implement, machine, appliance, implant,
reagent for
in vitro
use,
software, material or other similar or related article, including
Group III and IV Hazardous Substances contemplated in the
Hazardous
Substances Act, 1973 (Act No. 15 of 1973) -
(a)
intended by the manufacturer to be used, alone or in combination, for
humans or animals, for one or
more of the following:
(i)
diagnosis, prevention, monitoring, treatment or alleviation of
disease;
(ii)
diagnosis, monitoring, treatment, alleviation of or compensation for
an injury;
(iii)
investigation, replacement, modification or support of the anatomy or
of a physiological
process;
(iv)
supporting or sustaining life;
(v)
control of conception;
(vi)
disinfection of medical devices; or
(vii)
providing information for medical or diagnostic purposes by means
of
in vitro
examination
of specimens derived from the human body; and
(b)
which does not achieve its primary intended action by
pharmacological, immunological or metabolic means,
in or on the human
or animal body, but which may be assisted in its intended function by
such means.”
49.
The applicant argues that the DOA rapid screening tests diagnose,
monitor, treat or alleviate a disease as contemplated
in section
1(a)(i) of the definition, particularly as drug abuse is classified
as a disease according to the Diagnostic and Statistical
Manual of
Medical Disorders, 5
th
Edition (known as the “DSM5”).
The applicant further argues that DOA rapid screening tests provide
information for
medical or diagnostic purposes by means of
in
vitro
(i.e. outside the human body) examination of specimens
derived from the human body, as contemplated in section 1(a)(vii) of
the definition.
50.
Given the wide wording of the definition, at least
prima facie
for
present purposes, that there is much to be said for the argument that
DOA rapid screening tests fall within the plain meaning
of the
definition.
51.
To counter this, ELS contends in its answering affidavit that DOA
screening tests do not fall within the definition
of ‘medical
device’ for the reasons set out in paragraphs 141 to 141.7 of
the answering affidavit.
52.
Relying
upon what ELS asserts is the expert evidence of Dr Laurens,
[19]
it argues that DOA screening tests are not used for diagnostic
purposes but rather for compliance testing and therefore cannot
be
medical devices.
[20]
53.
Relying on
the expertise of Dr Laurens, ELS contends that if the DOA screening
tests are medical devices, they ought to be classified
as
non-measuring, non-sterile Class A medical devices, for which it is
common cause no medical establishment licence is required.
[21]
54.
Dr Laurens
testifies that there is no risk to a patient or public health in
using a DOA screening test and that urinating into a
cup attracts no
risk to any person performing that task. Therefore, he testifies, DOA
screening tests should be classified under
Class A of the SAHPRA
guidelines (as they are low risk
[22]
)
if they are indeed medical devices at all.
[23]
55.
Dr Laurens
further testifies that DOA screening tests do not have a measuring
function because they merely indicate the possible
presence of a
specific drug and they do not confirm the presence or quantities of a
potential drug. Confirmation testing still
needs to be done in the
laboratory. As the product is merely a screening test, and which
requires a laboratory confirmation where
accurate measuring then
takes place, the test itself, Dr Lauren opines, cannot constitute a
measuring device,
[24]
and so
the non-measuring requirement of the exclusion applies.
56.
Dr Laurens
testifies that that sterility means that the medical device must be
pathogen-free. As this is not a requirement for screening
tests in
that screening tests must merely be free from drug contamination, the
non-sterile requirement of the exclusion applies.
[25]
57.
And so the conclusion reached by Dr Laurens, and advanced by ELS, is
that DoA rapid screening tests, if they
are medical devices, are
Class A medical devices that are do not perform a measuring function
or which are required to be sterile,
and so fall within the exclusion
in the 2017 Directive.
58.
In reply,
the applicant persists that the products are Class B medical devices.
The applicant is supported in this by the view of
the third
respondent as the statutory authority, who confirmed in an email to
the applicant dated 11 July 2022 that the products
are Class B
medical devices.
[26]
More
particularly the Authority’s medical device technical officer
recorded in the email that:
“
Yes they are in
vitro diagnostics tests similar to pregnancy test kits i.e. reagents
and other associated materials intended
to be used for the
qualitative and/or quantitative detection of multiple drugs of abuse
in a clinical specimen”
.
59.
The
applicant’s position is further supported by that of the US
Food and Drug Administration (“FDA”), which classifies
the applicant’s supplier’s DOA screening tests as Class
II, which it says is similar to South Africa’s Class
B. The FDA
has classified ELS’ supplier’s (AllTest) DOA screening
tests as Class II, as is evident from the extract
of the FDA’s
510(k) Substantial Equivalence Determination Decision Summary
attached to the replying affidavit.
[27]
60.
The
European Union’s (“EU”) Medical Device Coordination
Group (“MDCG”) also classifies the DOA screening
tests as
Class B in accordance with their relevant Guidance on Classification
Rules for
in
vitro
Diagnostic Medical Devices for Regulation EU 2017/746.
[28]
61.
In addition, the applicant relies upon an extract from correspondence
from the FDA addressed to one of its suppliers
of the DOA test.
62.
This documentation emanating from these various regulatory
authorities, including our own, support the applicant’s
position that the products are class B products.
63. Although
ELS challenges this evidence as inadmissible hearsay evidence, given
the nature of these proceedings, which
are urgent motion proceedings
for interim relief, and considering the various factors in section
3(1)(c) of the Law of Evidence
Amendment Act, 1998 (unfortunately the
urgent nature of these proceedings precludes a close written
consideration of these factors)
I find the evidence to be admissible
for present purposes.
64.
In any event, it appears to me in determining whether the applicant
has a
prima facie
right although open to some doubt that the
definition of medical device is sufficiently wide so that even
without this supporting
material from the regulatory authorities, the
DOA rapid screening tests are medical devices. It also appears to me
in determining
whether the applicant has a
prima facie
right
although open to some doubt that the DOA rapid screening tests
although they produce either a negative or non-negative result,
rather than a true positive result, are nonetheless measuring
devices, and therefore cannot fall within the exclusion. For purposes
of founding a
prima facie
right in the present context, I (as
does SAHPRA) do not see a significant difference between a DOA
screening test and a pregnancy
test, particularly adopting a
purposive approach towards interpreting the relevant provisions of
the Medicines Act.
65.
I too, as
the court did in
Ingelheim
,
[29]
refer to the graphic description by Kriegler AJA in
Administrator,
Cape v Raats Rontgen and Vermeulen (Pty) Limited
1992
(1) SA 245 (A):
[30]
“
It would be
advisable to pause for reflection lest the wood become obscured by
the trees. Manifestly the Act was put on the statute
book to protect
the citizenry at large. Substances for the treatment of human
ailments are as old as mankind itself; so are poisons
and quacks. The
technological explosion of the twentieth century brought in its wake
a flood of pharmaceuticals unknown before
and incomprehensible to
most. The man in the street – and indeed many medical
practitioners – could not cope with the
cornucopian outpourings
of the world-wide network of inventors and manufacturers of
medicines.
Moreover, the marvels
of advertising, marketing and distribution brought such fruits within
the grasp of the general public. Hence
an Act designed, as the long
title emphasises, to register and control medicines. The enactment
created a tightly meshed screening
mechanism whereby the public was
to be safeguarded: in general any medicine supplied to any person is,
first, subject to stringent
certification by experts; then it has to
be clearly, correctly and comprehensively packaged and labelled and
may only be sold by
certain classes of persons and with proper
explanatory information; to round it out detailed mechanisms for
enforcement are created
and ancillary measures are authorised.”
66.
The respondents argued that there was no danger to the public in
performing a DOA screening test and therefore adopting
a purposive
approach towards the Medicines Act, which was passed in the interests
of the public and particularly from a health
and safety perspective,
that DOA rapid screening tests cannot be medical devices. Mr Botha SC
for the applicant countered this
by saying that there was a very real
danger should defective DOA screening tests be used. If the screening
tests failed to record
a non-negative result (and erroneously
recorded a negative result) and so failed to detect persons who might
(albeit not definitely)
be under the influence of drugs of abuse, and
so results in those undetected persons operating heavy equipment and
machinery, that
would pose a real danger to the public. In my view,
this is a persuasive argument as to why those that distribute DOA
rapid screening
tests should fall within the scope of those who are
required to be licenced under the Medicines Act.
67.
Mr Michau SC for ELS argued that it should not be for the court to
determine whether the DOA rapid screening tests
were medical devices
or fell within the exclusion as that should be within the purview of
the regulatory authority. Mr Michau
pointed out that the SAHPRA
had not called up the products for registration.
68.
The courts
have decided issues of this nature. The decision of MM Jansen J in
Allergan
Pharmaceuticals (Pty) Limited v Medicines Control Council and others
[2015]
3 All SA 173
(GP) is an example. In that matter the court decided on
a semi-urgent basis whether a range of solutions acting as dry eye
lubricants
constituted medical devices as defined in the Medicines
Act. In
Treatment
Action Campaign and another v Rath and others
[2008] 4 All SA 360 (C)
[31]
the court found that it was for it, and not the regulatory authority,
to decide whether a particular substance was a medicine.
69.
That SAHPRA has not called up the DOA screening tests for
registration as it is empowered to do under section 14(2)(a)
of the
Medicines Act is not of decisive significance. The Medicines Act does
not require a medical device to be called up for registration
or to
be registered before a distributor of that device must hold the
required medical establishment licence in terms of section 22C(1)(b).
70.
Mr Michau SC argues that the expert evidence under oath of its expert
witness, Dr Laurens, should prevail over what
is the inadmissible
hearsay evidence of the applicant. Mr Botha SC for the applicant
countered that whatever Dr Lauren’s
experience, that did not
extend to experience in whether a particular product constituted a
medical device, and if so, what kind
of medical device.
71.
Apart from
having already found the material emanating from the regulating
authorities is admissible for present purposes, in my
view, as
already stated, even if that material is excluded, it appears to me,
bearing in mind that approach to be taken in assessing
expert
evidence,
[32]
that at least on
a
prima
facie
basis
the DOA rapid screening tests are medical devices that fall outside
the exclusion.
72.
Bearing in mind that the applicant need only at this stage establish
a
prima facie
right although open to some doubt, I find that
the DOA rapid screening tests are medical devices and are not
non measuring,
non-sterile Class A medical devices falling
within the exclusion in the 2017 Directive, and so find that ELS
requires a medical
establishment licence in terms of section 22(1)(b)
of the Medicines Act.
73.
In the circumstances, I find that the applicant has established its
prima facie
right to found a restraint preventing ELS from
competing with it in distributing DOA rapid screening tests while ELS
remains unlicenced.
74.
Insofar as the requirements that there must be a well-grounded
apprehension of irreparable harm if interim relief
is not granted and
the ultimate relief is granted and the absence of an alternate remedy
adequate in the circumstances, these do
not present any particular
difficulty. ELS is trading in the products without the required
medical establishment licence and intends
continuing to do so. The
applicant who is licenced will for the usual reasons find it
difficult to quantify such losses as it suffers
by ELS trading
unlawfully in the products and having distributed products that the
applicant might (but not necessarily would have)
otherwise have
distributed. The difficulties in the applicant establishing the
requirements of causation and damages in a subsequent
delictual
action does not make such an action an adequate alternative remedy in
the circumstances.
75.
In relation
to the remaining requirement for an interim interdict, namely
weighing the prejudice to the applicant if the interim
relief is
refused against the prejudice that ELS will suffer if the interim
relief is granted, I find that the balance of convenience
favour
granting the interim interdict. As already described, it is ELS who
as a fledgling company is seeking to expand into a new
market
separate from its primary business of a forensic toxicology
laboratory. In doing so, ELS can be expected to have ensured
that it
had abided with the relevant regulatory framework and, in seeking to
participate in this market, should it find itself
on the wrong side
of an interim finding that it needs to comply with the regulatory
framework by obtaining an medical establishment
licence, especially
where the regulatory authority is of the view that it needs to do so,
its prejudice is outweighed by that of
applicant who has gone to the
effort and expense of complying with the prescribed regulatory
requirements.
[33]
76.
Also relevant in this regard is that the applicant has placed on
record that should ELS establish in due course
that it has suffered
damages because it was prevented by way of an interim interdict from
distributing DOA rapid screening tests
and a court ultimately finds
that it was not required to be so licenced, that the fact that an
interim order was in place will
not be relied upon by the applicant
as a defendant in any subsequent delictual action by ELS as a basis
for arguing that its conduct
was not unlawful as it was under the
protection of an interim order.
77.
In the circumstances, I find that the applicant is entitled to
interim relief restraining ELS from distributing
DOA rapid screening
tests until it has been licenced to do so by SAHPRA in terms of the
Medicines Act, and I intend granting such
relief.
78.
What does this then mean for the applicant’s remaining pillars
of interdictory relief?
79.
Assuming (but not deciding) in favour of the applicant that the
remaining relief is interim in nature and so only
the requirements
for interim relief need be satisfied, I intend, rather than entering
the treacherous terrain bristling with factual
disputes whether the
applicant has established even a
prima facie
right, although
open to some doubt, considering the relief from the perspective of
the remaining requirements for interim relief.
80.
Bearing in
mind that the various requirements for an interim interdict are not
to be considered separately or in isolation but in
conjunction with
each other in order to determine whether the court should exercise
its discretion in favour of granting the interim
relief sought,
[34]
the applicant having already succeeded in obtaining interdictory
relief that restrains ELS from distributing the products, has
secured
adequate protection, albeit in a different form and under a different
cause of action. ELS cannot distribute the products
until it is
licenced and therefore as matters stand the relief sought against the
respondents based upon the alleged unlawful competition
arising from
the alleged use by ELS of the applicant’s trade connections and
confidential information is unnecessary.
81.
Similarly, I find that the interdictory relief against Claasen as the
first respondent based on his contractual
undertakings is also
unnecessary because the applicant’s concern is not that Claasen
is employed by ELS per se but rather
that he is employed by ELS in
competing with it in the DOA rapid screening testing market. Once ELS
cannot so compete because of
the relief to be granted against it,
there is no pressing need to restrain Claasen.
82.
What also weighs on me in exercising my discretion against granting
any further relief to the applicant is that
apart from the applicant
having now obtained a satisfactory remedy in the form of the interim
relief that will be granted, I have
doubt that such proprietary
interests as the applicant seeks to protect are still sufficiently
extant and worthy of protection
to outweigh the prejudice that the
respondents may suffer if interim relief is granted. I say this
because it is now six months
since Claasen left the employ of the
applicant in January 2022. Assuming in favour of the applicant that
Claasen immediately upon
joining ELS commenced wilfully exploiting
the applicant’s confidential information and trade connections
for the benefit
of ELS, and ELS deriving the benefit thereof from
that date, six months will have now passed. The respondents’
version is
that six months would be a sufficient sterilisation period
to have enabled the applicant to maintain the customer connections
and
so therefore remove any springboard that ELS may have had in
engaging Claasen in February 2022 and/or in making use of the alleged
confidential information.
83.
Bearing in mind the applicant’s posited case that Claasen had
already from March to May 2021, over a year
ago, started passing on
this information to ELS for purposes of trading illegally with the
applicant in the forthcoming year, i.e.
from the beginning of 2022
(without obviously deciding that this in fact occurred), the
usefulness of any such trade connections
and confidential information
would have been significantly diluted.
84.
The
restraint signed by Claasen in 2009 was three years commencing upon
the termination of his employment. The applicant pared that
three-year period to 18 months in these proceedings.
[35]
The applicant then further as an alternative pared the restraint
period to twelve months because this was the restraint period
that it
sought that the applicant agree to in the most recent restraint
undertaking that Claasen refused to sign, in 2019. Bearing
in mind
that Claasen’s position and influence within the applicant had
significantly increased from his initial engagement
in 2016 as a
sales representative to his appointment as the corporate health and
sales manager in May 2019, that the applicant
itself found a
restraint period of 12 months to be sufficient in May 2019 does
demonstrate that that would be a more appropriate
period than 18
months.
85.
If that 12-month period is applied from February 2022, half of that
restraint period would already be up, assuming
in favour of the
applicant that it would be entitled to a restraint for that period
and that it satisfied the other requirements
for interim relief. I do
not find favour with the applicant’s argument that this period
must only start in June 2022 when
Claasen’s erstwhile position
in the applicant was formally filled. As the respondents explain in
their affidavits, which
is not disputed, there were already personnel
in place within the applicant that could immediately attend to
maintain its customer
connections and dilute any customer connections
that the applicant alleges that Claasen could take with him in his
pocket. The
person appointed as Claasen’s replacement emanated
from within the applicant, being a sales representative, having
served
under and with Claasen for some time before Claasen departed
to ELS in February 2022. The point is that the applicant did not have
to start from scratch in maintaining its customer connections.
86.
Depending
how long-lived the interim relief may be that I intend granting in
that it would remain in place until ELS is licenced,
assuming that
that takes place before the applicant’s contemplated action is
finalised, it may be that 12 months would have
passed since January
2022. While it may also be that the licencing may occur within the 12
months, upon a consideration of all
the factors, in the exercise of
my discretion,
[36]
I find that
the relief that I intend granting under the third pilar of relief is
sufficient and that the applicant does not require
further relief.
87.
Although the applicant has succeeded in obtaining interdictory relief
against ELS as the second respondent, I intend
granting the usual
form order that such costs as were incurred between the applicant and
ELS are reserved for determination by
the trial court in the
applicant’s intended action against ELS.
88.
Insofar as the costs of Claasen are concerned, I do not intend making
any order for costs. Although the applicant
has not obtained relief
against Claasen, this is largely because the relief granted against
ELS suffices to protect the applicant’s
interests and where the
predominant factor that weighed against the granting of relief
against Claasen separately as the first
respondent was that effective
relief would be granted in any event as against ELS as the second
respondent.
89.
I considered whether the costs of the application insofar as Claasen
was concerned should also stand over for a
trial court to determine.
Upon reflection, an order of no costs would be more appropriate. It
may transpire that following upon
this judgment that the applicant
wishes only to institute action proceedings against ELS and should
the applicant be required also
to institute action proceedings
against Claasen only to prevent it otherwise becoming liable for the
costs of these proceedings
because it did not institute action
against Claasen, an order that that the costs vis-à-vis
Claasen stand over for trial
may precipitate an action against a
defendant that would not otherwise have taken place.
90.
The following order is made:
90.1. Pending
finalisation of an action to be instituted by the applicant against
the second respondent within 30 court days of
this order, the second
respondent is interdicted and restrained from distributing drugs of
abuse rapid screen testing products
until it has been licenced to do
so by the third respondent in terms of the Medicines and Related
Substances Control Act, 1965.
90.2. The costs of the
application as between the applicant and the second respondent are
reserved for determination by the trial
court in the action to be
launched by the applicant, save that if the applicant does not launch
the action within the stipulated
period, then the applicant will pay
the second respondent’s costs of this application.
90.3. No order of costs
is made in relation to the application as between the applicant and
the first respondent.
##
Gilbert AJ
Date of hearing:
27 July 2022
Date of judgment:
1 August 2022
Counsel for the
applicant:
A Botha SC with K Turner
Instructed
by:
Bouwer and Olivier Inc
Counsel for the first and
second respondents:
R Michau SC with C W Pretorius
Instructed by:
Barnard Inc
Counsel for the third
respondent:
No appearance
[1]
Although prayer 3 of the notice of motion seeking interdictory
relief arising from what the applicant contends is the unlawful
competition by ELS as it is unlicenced is not framed as being sought
pending the action, this was an editing error in the notice
of
motion as this relief too is sought on an interim basis, as appear
from the affidavits and as confirmed by the applicant’s
senior
counsel in argument. The respondents raised no objection.
[2]
Annexe
“FA2” at 02-98. The restraint is clause 5 at 02-107.
[3]
Annexe
“RA0” at 002-541.
[4]
At
02-554.
[5]
Annexe
“FA13” at 02-137.
[6]
Annexe “AA7” at p 02-416.
[7]
FA para 101 at 02-35.
[8]
Rawlins
v Caravantruck
[1992] ZASCA 204
;
1993 (1) SA 537
(A) at 451 G-I.
[9]
See,
for example, “CA19” to the confidential affidavit at
pages 65 to 67, dated March and April 2021, and “CA20”
at page 68 dated 17 May 2021.
[10]
Annexe
“AA10” at 02-428.
[11]
In
the present instance it is not a matter of the DOA rapid screening
tests not being registered – they presently have not
been
called up for registration in terms of section 14(2) of the
Medicines Act – but rather that ELS does not have a medical
establishment licence as required in terms of section 22C(1)(b).
[12]
See
again footnote 1 above.
[13]
After considering some of the more well-known decisions, including
Cipla
Agrimed (Pty) Limited v Merck Sharp Dohme Corporation and others
2018
(6) SA 440
(SCA) and
Cronshaw
and another v Coin Security Group (Pty) Limited
1996
(1) SA 686 (A)
[14]
My
emphasis.
[15]
Para
20 above, in
Andalusite
.
[16]
As
Keightley J too did not need to decide: para 22.
[17]
Rogers
AJA in the minority judgment in
Cipla
,
cited in para 20 of
Andalusite
.
[18]
As cited is
Annex
Distribution (Pty) Limited and others v Bank of Baroda
2018
(1) SA 562
(GP) at para 19.
[19]
See
paragraphs 39 to 46 of Dr Lauren’s confirmatory affidavit at
02-449 to 02-452.
[20]
Paragraph
42 at 02-451.
[21]
Paragraph
43 at 02-451.
[22]
See
paragraph 176 of the respondents’ heads of argument, at
05-179.
[23]
Paragraph
44 at 02-451.
[24]
Paragraph
45 at 02-451.
[25]
Paragraph
46 at 02-451, 2.
[26]
Annexe “RA6” at 02-579.
[27]
Annexe
“RA7” at 02-582 to 585.
[28]
Annexe
“RA8” at 02-586.
[29]
In
para 6.
[30]
At
254B-E.
[31]
At
para 62, particularly, “
[t
he
term “medicine” is defined in the Medicines Act and if
there is a dispute about the nature of a substance it is
for the
courts to make a determination whether or not a particular substance
is a medicine as defined in the Medicines Act.”
[32]
Michael
and another v Linksfield Park Clinic (Pty) Ltd and another
2001 (3) SA 1188
(SCA), para 26 and 36.
[33]
See
Ingelheim
para
30.
[34]
See the authorities cited in Erasmus
Superior
Court Practice
RS17, 2021, at D6-16D, in footnote 160.
[35]
See,
for example,
Den
Braven SA (Pty) Ltd v Pillay and another
[2008] 3 All SA 518 (D).
[36]
As
the wide nature of the discretion, see
Knox
d’Arcy Ltd and others v Jamieson and others
[1996] ZASCA 58
;
1996 (4) SA 348
(A) at 360D – 361E.
sino noindex
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