On 03/23/2021, the end-user reported a strikethrough on a reusable surgical level ii gown.The strikethrough was noticed once the gown was removed in the arm area.The staff member wore the gown for a total shoulder.The gown was sent back to the facility for investigation.The facility misplaced the gown.There is no reported injury or follow-up care.The facility took the following actions: testing the samples of l2 gowns by hydrostatic testing, no concerns noted.Awareness documented training was provided to the employees.Review of laundry titration reports four weeks before, no issues noted.Review of data entry into the computer system for preprogrammed barrier testing; no issues noted.Review of processes and procedures, no updates needed.Verified barrier training is current.No additional information is available.If additional information becomes available, a supplemental medwatch will be filed.
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