{"id":12463,"date":"2021-12-17T10:09:24","date_gmt":"2021-12-17T02:09:24","guid":{"rendered":"https:\/\/cmel.hku.hk\/legal_update\/doctor-jailed-for-gross-negligence-manslaughter-over-death-of-a-liposuction-patient-hksar-v-kwan-hau-chi-vanessa-2021-hkcfi-2978\/"},"modified":"2025-07-10T20:32:44","modified_gmt":"2025-07-10T12:32:44","slug":"doctor-jailed-for-gross-negligence-manslaughter-over-death-of-a-liposuction-patient-hksar-v-kwan-hau-chi-vanessa-2021-hkcfi-2978","status":"publish","type":"legal_update","link":"https:\/\/cmel.hku.hk\/zh\/legal_update\/doctor-jailed-for-gross-negligence-manslaughter-over-death-of-a-liposuction-patient-hksar-v-kwan-hau-chi-vanessa-2021-hkcfi-2978\/","title":{"rendered":"Doctor jailed for gross negligence manslaughter over death of a liposuction patient: HKSAR v KWAN HAU CHI, VANESSA [2021] HKCFI 2978"},"content":{"rendered":"<p>Before:\u00a0 Hon D\u2019Almada Remedios J in Court<br \/>\nDate of Reasons for Sentence: 4 October 2021<\/p>\n<p>In 2014, Ms Lee Kar-ying Josephine (\u201cP\u201d) died following a liposuction procedure performed by a registered medical practitioner, the defendant (\u201cD\u201d), at the \u201cRegrowth Hair Transplant Centre Ltd\u201d\u00a0<span style=\"color: #000000;\">on the 7th floor of No. 2 Carnarvon Road.<\/span><\/p>\n<p>During the procedure, P was administered sedative drugs by D, who was only assisted by 2 receptionists and 2 beauticians. These 4 assistants were not qualified in sedation and did not know how to resuscitate.\u00a0P was not supplied with oxygen. While\u00a0<span style=\"color: #000000;\">P was attached to an equipment\u00a0<\/span>called \u201cPassport (Mindray)\u201d\u00a0<span style=\"color: #000000;\">to monitor physiological variables\u00a0<\/span>during the procedure<span style=\"color: #000000;\">, the device alarmed throughout the procedure. The alarm showed that there was a problem with the vital signs of P but the alarm was ignored and silenced by one or other of the assistants.\u00a0<\/span>(\u00a711-23)<\/p>\n<p>After completing the liposuction procedure, D left the operation room leaving P, who was still sedated and unconscious, in the care of the 4 medically untrained assistants. (\u00a724-28)<\/p>\n<p>D was charged with and\u00a0found guilty of\u00a0manslaughter by way of gross negligence, contrary to Common Law and punishable under section 7 of the Offences against the Person Ordinance (Cap. 212).<\/p>\n<p>The judge sentenced D on the bases (\u00a77):<\/p>\n<ul>\n<li>that D had breached her duty of care to P by failing to:<br \/>\n1. ensure the presence of a properly qualified person to administer and monitor sedation;<br \/>\n2. ensure sufficient oxygen supply;<br \/>\n3. follow the \u201cGuidelines on Procedural Sedation\u201d of the Hong Kong Academy of Medicine;<br \/>\n4. provide proper and sufficient monitoring after the liposuction procedure; and<br \/>\n5. provide adequate timely resuscitation.<\/li>\n<\/ul>\n<ul>\n<li>that P was under deep sedation after D administered to her a combination of sedative drugs except for a very short period when she came out of deep sedation during the procedure.<\/li>\n<\/ul>\n<p>The judge held that (\u00a78):<\/p>\n<ul>\n<li>It was apparent from the jury\u2019s verdict that D\u2019s conduct fell far below the standard of a competent doctor. D&#8217;s inactions and actions substantially caused P\u2019s death.\u00a0 A reasonably competent doctor would have foreseen that the breach of D\u2019s duties would give rise to a serious and obvious risk of death and D\u2019s breach was so truly exceptionally bad and so reprehensible.<\/li>\n<\/ul>\n<p>In sentencing D, the judge considered, among other things:<\/p>\n<ul>\n<li>(\u00a749-57) the Victim Impact Reports on P\u2019s mother, daughter and boyfriend, which revealed that P\u2019s family was facing tremendous disruption, financial instability, hardship and the loss of a significant person in their lives;<\/li>\n<li>(\u00a758\u201370) D\u2019s culpability taking into account, among other things, the very serious departure from normal professional standards and the immense failings in D\u2019s duty such as:<br \/>\n<span style=\"color: #000000;\">1. D\u2019s failure to ensure optimisation of P\u2019s airway or provide her with oxygen even though D anticipated that P\u2019s respiratory condition could be compromised;<\/span><br \/>\n2. D\u2019s failure to monitor or assess P\u2019s vital signs during and after the procedure;<br \/>\n3. D\u2019s display of a blatant and serious disregard to the wellbeing of P and to the valuable warning that P\u2019s life was at risk and in jeopardy; and<br \/>\n4. D appallingly leaving P in the hands of medically untrained assistants when she knew that P was sedated and not awake or conscious.<\/li>\n<\/ul>\n<p>Given the magnitude of D\u2019s actions and inactions, the judge sentenced D to 6 years\u2019 imprisonment.<\/p>\n<p>Please refer to the\u00a0<a href=\"https:\/\/legalref.judiciary.hk\/lrs\/common\/ju\/ju_frame.jsp?DIS=139188\">Reasons for Sentence<\/a>\u00a0for details.<\/p>\n","protected":false},"featured_media":7263,"template":"","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","inline_featured_image":false},"legal_type":[670],"legal_year":[793],"legal_tag":[680,678],"class_list":["post-12463","legal_update","type-legal_update","status-publish","has-post-thumbnail","hentry","legal_type-case-briefing-zh","legal_year-2021-zh","legal_tag-grossnegligencemanslaughter-zh","legal_tag-negligence-zh"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Doctor jailed for gross negligence manslaughter over death of a liposuction patient: HKSAR v KWAN HAU CHI, VANESSA [2021] HKCFI 2978 - 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