Officially, his death was listed as the result of "probable acute cardiac arrhythmia, due to probable hypoxemia, due to combined restraint asphyxia
, and severe physical exertion, due to apparent manic psychotic episode." As Supervising Deputy Coroner Phil Ehlert explained to the Sacramento Bee, restraint asphyxia
is "a lack of oxygen caused by a highly agitated state exacerbated by the imposed restraint." A class-action lawsuit against the jail, which was eventually settled for $750,000, claimed that the device had repeatedly been used for torture at the jail and that Marrero's death was a direct result of his time in the restraint chair.