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recurance

Kishorkumar Patel and Kofi Aning

7 Jul 2021 · Coroner Nadia Persaud · East London

The coroner's concerns

  1. 1. non-standardised colour coding of filters and HMEs

    “In my opinion, the non-standardised colour coding used by manufacturers of these filters, the number of different types of filters with different names, the variable optimal position of the filters, and whether a wet or a dry breathing system is being used, results in an extremely confusing situation”

Responses

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Source: Prevention of Future Deaths reports and responses published by the Courts and Tribunals Judiciary at judiciary.uk. Crown copyright, used under the Open Government Licence v3.0. Data updated 26 Oct 2026.

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