However, it is standard for hookah, surface supplied, diving. The unit is not able to
Hookah diving rarely involves a dive buddy, as most are used for solo working dives. They were made for solo operation as an alternative to scuba. This particular unit is made for use by only one diver, in order to make it more easily portable.
Although Brownie's suggest a hookah diver get dive training, most don't, and use the instructions inclosed with the unit, as was done with SCUBA back in the early days when I started. There is no requirement for dive training for scuba or hookah.
Since he had training, and no doubt read the hookah instructions, I believe it was a medical event, possibly a heart attack, made worse by the conditions. Once someone has panicked, they will not drop their belt. If one is having a heart attack, have debilitating chest pain, can't get enough to breathe, are 10' underwater, and then having trouble staying on the surface, one will not remember they have a weight belt on.