David Hekili Kenui Bell’s autopsy report has been revealed, providing fresh information regarding the Lilo & Stitch actor’s death.

The autopsy report, obtained exclusively by PEOPLE, was provided by the Hawaii Police Department a little more than two months after Bell died on June 12 at the age of 46 on the Big Island of Hawaii.

The report’s results include four “pathological diagnoses”: severe respiratory failure, sepsis, hypertensive/atherosclerotic heart disease, and morbid obesity.

The Cleveland Clinic defines atherosclerosis as the “buildup of fats, cholesterol, and other substances in and on the artery walls,” also known as plaque, which can “cause arteries to narrow, blocking blood flow” or rupture, “leading to a blood clot.”

The autopsy report also shows that medical intervention efforts were conducted following resuscitation attempts. The exam discovered defibrillator (AED) pads on Bell’s chest, an airway in his mouth, a blood pressure cuff on his right upper arm, an IV line in his left arm, and an intraosseous needle in his left lower leg, which is used to “deliver fluids, medications, or obtain laboratory samples” “when intravenous access is delayed or unfeasible,” according to the NIH.

The autopsy, which took place on June 19 and was finished on July 10, revealed Bell had stasis dermatitis (a skin disease caused by impaired blood circulation in the legs) and edema.

A toxicology screen provided with the postmortem report shows that there was no indication of drugs or alcohol in Bell’s system that exceeded reporting limits.

The report adds that Bell “complained of difficulty breathing” before his death.

The cause for the checkup, which was performed at Kona Community Hospital in Kealakekua, Hawaii, is a “coroner’s case,” according to the article. The autopsy report does not specify the reason or method of death.

An official with the Hawaii Police Department informed PEOPLE that the investigation into Bell’s death had been concluded.

A representative for the Hawai’i Police Department previously told PEOPLE that officials initiated a coroner’s inquest probe following Bell’s death, which is usual protocol. The representative went on to say that no foul play was suspected.

An obituary in the Hawaii Tribune-Herald stated that Bell’s service was conducted on August 9 at Annunciation Catholic Church in Waimea.

Bell’s death was confirmed on Sunday, June 15, in a Facebook post by his sister, Jalene Kanani Bell.

Many people were surprised by the news, including Bell’s agent, Lashauna Downie, who told PEOPLE she found out about his death on social media. “Just like you, I’m learning through social media. This is devastating and awful, if accurate,” Downie remarked. “He was one of my best talents & embodied the true meaning of aloha…a gentle giant.”

Bell impressed Lilo & Stitch audiences by portraying a character who drops his cup of shaved ice as he sees an extraterrestrial vortex open on the beach. The funny clip, a throwback to the original 2002 animated film, appeared in teasers for Disney’s remake, which made more than $1 billion worldwide.

His sister’s homage to her “little brother” described him as a “joy of a human and prince of a man.” Jalene revealed that Bell and his entire family celebrated the debut of Lilo & Stitch, which premiered on May 23.

“He planned ahead and purchased the best seats in the house for us all to go together to opening night in Kapolei just two short weeks ago,” she said in the comments section.

Jalene noted that seeing moviegoers dressed in Lilo & Stitch attire made the family “so energized” while they waited in line for snacks. “I said we should get shave ice after the movie and reenact the [scene] but then realized the store was already closed,” she told me. “To celebrate him and try to ease our grief, we went to get shave ice, and my grandson’s emotion was on point.”

In addition to Lilo & Stitch, Bell featured in remakes of the Hawaii-set sitcoms Hawaii Five-0 and Magnum P.I., as well as ads for Kona Brewing.