Basic design and operation

e-cigarettes are generally designed to resemble traditional cigarettes in dimensions and, to some extent, graphic design. The common components for most e-cigarettes include an aerosol generator, a flow sensor, a battery and a solution (or e-liquid) storage area (see figure 1).

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Figure 1

Typical e-cigarette configuration. This shows a wick/heater as aerosol generator, gauze saturated with e-liquid, a microprocessor (optional) to control operations and an LED (optional) to imitate a burning coal.

e-cigarettes currently are classified as either disposable or reusable. Disposable units do not have rechargeable batteries and are usually not refillable. They may have a light-emitting diode (LED). The e-liquid container or cartridge may be separate from the aerosol generator or atomizer; a combined atomizer and cartridge is called a cartomizer. Currently marketed e-cigarettes typically have an aerosol generator with a metal or ceramic heating element coiled around a wick bundle.

A wide variety of materials may be used in an e-cigarette. They include metals, ceramics, plastics, rubber, fibres and foams.1^–5 Some materials may be aerosolised, possibly contributing to adverse health effects.

Although e-cigarettes range in complexity, the following describes the basic operation of a first-generation e-cigarette:

1. The user draws upon the e-cigarette, which activates an airflow sensor.

2. The airflow sensor detects pressure changes and prompts the flow of power to an LED and a heating element.

3. The e-liquid saturates a wick via capillary action and is then aerosolised by the heating element.6

4. The aerosolised droplets of e-liquid subsequently flow into the user's mouth and lungs.7

Detailed operation and components

For some advanced e-cigarettes, prior to puffing, the consumer can select feature adjustments that determine heating element temperature, air flow rate or other functions. Figure 2 outlines a more detailed, but typical, e-cigarette operations cycle. The cycle is initiated by single or multiple sensor responses and/or the use of a button.8 The initiating sensor(s) may be an acoustic, pressure, touch, capacitive, optical, Hall Effect or electromagnetic field type.9 ,10 The sensor(s) and/or button initiates power flow to pumps, heating elements, LEDs and other elements.1 Anecdotal evidence suggests sensors or buttons may provide the ability to extend puff duration.11

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Figure 2

Basic e-cigarette operation. This flowchart outlines basic actions and functions to transform and deliver e-liquid-based aerosol.

The cartridge (or cartomizer) and sometimes the battery holder have air holes to help facilitate the flow of air required for puffing while also controlling for pressure drop. However, air holes may serve multiple purposes. For instance, the European and International Organization for Standardization (ISO) have ink pen lid standards that mandate air holes to prevent a child-choking hazard associated with pen lids.12

Aerosol production generally involves three stages: preprocessing, aerosol generation and postprocessing. The first stage involves the transport of the e-liquid to the aerosol generator. Capillary action through a wick is the primary means used by first-generation and possibly the majority of current e-cigarettes to control the delivery of e-liquid to the aerosolising element. Other possible transport mechanisms include programmed or mechanically controlled pumps, nozzles and diaphragms. The pump may be peristaltic, plunger, eccentric or screw, and powered by electrostatic, piezoelectric, magnetorestrictive, thermal contractive or thermal bubble processes.1 ,13 Additionally, fluid jet, micromesh, microetched screen or electropermeable membrane methods of transport are available.1 ,9

Another method of e-liquid delivery to the aerosol generator involves micro-pumps on microelectromechanical systems (MEMS). Miniaturised pumps and/or nozzles/jets deliver specifically programmed quantities and combinations of e-liquids to an aerosol generator.1 Alternately, a consumer may directly drip e-liquid onto a heating element before puffing.11 ,14

The second stage of aerosol processing involves aerosol generation, which involves (1) heating, in which the e-liquid comes in contact with the heating element as described above; and/or (2) mechanical processing, in which an ultrasonic vibration generator or other mechanical device produces an aerosol by mechanical dispersion.13 ,15

At least one e-cigarette (cigar) introduced to the overseas market uses ultrasonic vibration to produce an unheated aerosol of 0.5–1.5 μm particle size, and another described in patent documents combines heating and vibrating elements.16 ,2 In addition to heating and ultrasonic vibration, e-cigarettes may incorporate MEMS that use pumps and nozzles (jets) or ultrasonic piezoelectric elements for aerosol generation.

Possible heating element arrangements include straight line, multiple spiral, cluster, nozzle, laser or element combinations. Coil arrangements may incorporate wicks and coil covers (bridged) or no covers (debridged for ‘dripping’). The heating element's resistance, material and the voltage across it determine the current flow and element temperature. The heating element temperature and temperature duration influence the aerosol properties. Element degradation, fouling and other factors also influence the heating element temperature.

The final stage of aerosol processing occurs as the aerosol travels through the central air passage to the consumer. Unless the aerosol is heated, its temperature decreases as it flows and condensation occurs. Larger droplets that condense on the inside of the central air passage may be removed from the passage and subsequently discarded or reprocessed into an aerosol.17 To further simulate traditional smoking, the appearance of sidestream smoke is engineered into one e-cigarette design using pumps.13

Microprocessors, programmable logic units, integrated circuits and other electronic components may be incorporated into some e-cigarette products. The electronic components may be used to power components and in conjunction with a liquid crystal screen to display and/or record operating state parameters, such as battery life, use frequency per day, average use cycle and safety warnings. However, the microprocessor may also have additional functions such as the ability to control integrated MEMS (eg, pumps and/or motors) that deliver specifically programmed product quantities or concentrations. One patent describes Bluetooth communication protocol integration and multiple smoking software programs based on fluid type and user preference.13

The presence of microprocessors and memory chips in e-cigarettes raises concerns about the collection and use of personal privacy information. A microprocessor may facilitate consumer data collection for dissemination to a third party, either wirelessly by Bluetooth or through the universal serial bus (USB) interface when the battery is recharged.9 Data may include the smoker's personal information (eg, gender, age, address), smoking topography and possibly health-related data.9 ,18 Of further concern is the ability of the software and microprocessor to directly or covertly manipulate nicotine delivery, and software viruses.

Some e-cigarettes may be used while connected by USB cord to a power source. Additionally, some e-cigarettes may be powered by permanent rechargeable battery (a manufacturer-supplied sealed unit), a non-rechargeable battery or a user-replaceable battery (rechargeable or non-rechargeable). Portable chargeable carrying cases are available for remote e-cigarette charging for some brands. Nickel-cadmium (NiCad), nickel metal-hydride (NiMh), lithium ion (Li-ion), alkaline and lithium polymer (Li-poly), and lithium manganese (LiMn) batteries may be used to power e-cigarettes.19

Performance considerations

Several studies have described significant performance variability among e-cigarette brands and within the same brand/product and compared the performance of e-cigarettes with that of conventional cigarettes. The performance parameters investigated included pressure drop, airflow, aerosol products and puff count.

Trtchounian et al20 compared eight brands of traditional cigarettes to four brands of e-cigarettes. In a comparison of the first 10 puffs of each brand, three of the four e-cigarette brands required significantly higher average vacuums to produce an aerosol density comparable to traditional cigarettes. In the same study, when five brands (Trtchounian et al added additional brand) of e-cigarettes were tested, the vacuum required to produce an aerosol of standardised density increased for each brand as it was smoked. The puff count at which the increase would be required varied from a low of 24±12 for one brand to 121±26, and 114±71 for two brands at the high end. Puff count to entirely exhaust a cartridge varied for the e-cigarettes tested from low of 30±43 to a high of 313±115 for different brands.

Williams and Talbot followed up their collaboration with Trtchounian and tested four different brands of e-cigarettes that included duplicates of two brands.21 An analysis of the first 10 puffs showed that pressure drop, flow rate and aerosol density remained relatively constant for a given e-cigarette, but varied among brands. The investigators analysed the ventilation or air flow for each brand; they concluded that there was a good correlation between air hole area and pressure drop for half the e-cigarettes tested. The investigators concluded that “the airflow rate required to produce an aerosol varied significantly among e-cigarette brands and was usually higher than the airflow rate required to produce smoke from tobacco-containing cigarettes.”21 Additionally, they concluded that standard testing protocols typically used with traditional cigarettes are not appropriate for e-cigarettes, stating, “E-cigarette laboratory testing will require its own standard procedure, which is yet to be developed”.21

Test protocols and standardisation are a concern when comparing results from the two studies. In each study, puff counts are correlated with both puff volume and duration. The investigators produced aerosols of a particular density. This presupposes that density will drive the puff volume for all e-cigarettes. However, the satiating effect may be the driving factor; thus, standardisation of nicotine delivered/absorbed may be an alternate means of determining the appropriate test protocol. The effect of smoking topography on the studies’ results and conclusions is unclear and merits further investigation.

Design and aerosol production considerations

Anecdotal evidence suggests that larger capacity tanks, higher coil voltage and dripping configurations appear to be consumer innovations adopted by manufacturers. The e-cigarette forums are a potential source of information concerning emerging trends regarding e-cigarette design, use and maintenance. Currently marketed e-cigarettes may have thousands of interchangeable parts that modify the character of the delivered aerosol; connection adapters are available to further enable interchangeability. Currently advertised features of some e-cigarettes include

• advanced power-on activation (multiple-button click-on feature)

• auto shutoff (safety feature)

• short circuit and over current protection (safety feature)

• variable voltage ranges (eg, 3–6 V in 0.1 V increments).

It appears that the variable voltage units introduced the ability to increase heating element temperature. Increasing heating element temperature subsequently increases the temperature of the air containing the aerosol and increases the aerosol generation rate. The warmer air can hold more e-liquid mass per unit of air volume. Additionally, aerosol particle size may be altered by the temperature of the heating coil.5 Referencing Trtchounian et al20, Zhang et al22 noted, “Vaping technique would be especially important if vapers can generate a different range of particle sizes, or if particle sizes change over time.” Additional research is required to determine whether the increased coil temperature significantly increases the e-liquid mass available and/or alters aerosol particle size.

According to Etter et al23, particle size affects absorption and can directly affect aerosol toxicity. Two studies measured e-cigarette aerosol particle size. Ingebrethsen et al24 found that undiluted e-cigarette aerosols had particle diameters in the 250–450 nm range and particle density concentration of approximately 109 particles/cm³. However, according to the same report, these e-cigarette numbers differ somewhat from the 50–200 nm particle diameter modes reported in another study by Schripp et al.25 Zhang et al22 constructed an apparatus to determine in vitro particle size distribution and concluded through testing that “e-cigs and conventional reference cigarettes produce aerosols having generally similar particle sizes in the range of 100–600 nm.”

In 2012, Pellegrino et al compared particulate matter (PM) from aerosols of Italian brand e-cigarettes with the PM of conventional cigarettes. Data showed that concentration of fine and ultrafine PM was approximately 6–18 times higher for the conventional cigarettes than the e-cigarettes tested.26

A limited number of patents (granted and applications) were reviewed to determine what new features have been incorporated into products currently on the commercial market or potentially available to the market. One patent described ports designed to facilitate reprocessing of accumulated condensate.15 In their patent application, Tucker et al19 describe the following novel features: diffusers (figure 3), which enhance mixing; airflow diverters, which apparently allow the heating element to maintain a desired temperature, thus optimising nicotine delivery with puff intensity; multiple e-liquid tanks, each with its own wick heater; aroma strips to add fragrance to the outside of the e-cigarette (or into the aerosol); and a movable screen with openings to vary the airflow and thus the pressure drop. Liu describes multiple heating elements arranged in a series or in parallel, where aerosol streams converge or remain separate.27 In another patent application, Tucker et al28 describe an advanced dripping configuration. Alarcon and Healy describe extensive communications and data collection potential in one of their patent applications (table 4).9 Conley et al29 describe breath, saliva, sweat, and tissue or cell analysis and conveyance of the information to a healthcare professional as well as biometrics to couple a device to a particular user. Li et al30 describe a feature designed to shift aerosol particle size distribution towards a range of smaller particles through impacting the aerosol on a surface.

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Figure 3

Diffuser. This diagram shows multiple angled openings that increase aerosol dispersion and buccal cavity contact. The numbers reference descriptive text in the patent.5 ,19

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Figure 4

Communications features. This diagram shows bidirectional data transfer between the consumer, computer, pack, social networks and stakeholders. The numbers reference descriptive text in the patent.9

Safety considerations

Two safety issues are posed by contaminants in the e-liquid or ‘e-juice’ and the handling hazards associated with inadvertent skin contact. Due to a lack of manufacturing standards and controls, e-liquid purity often cannot be assured, and testing of some products has revealed the presence of hazardous substances.7 The nicotine in e-liquid can be hazardous if mishandled and can be toxic to infants and children at the levels present in e-liquid.31 Child-safe or child-resistant packaging, child safety locks (such as those present on cigarette lighters) and proper instruction on the safe handling of e-liquid can help mitigate some of these risks. One patent discussed the use of biometrics and sensors to identify consumers by age; this technology could possibly be used to prevent some child usage by using age screening.29

The use of e-cigarettes with illegal substances is a concern. One patent states that, “With slight modification of the solution storage container, the device and connecting structures of the present invention can be filled with conventional drug for pulmonary administration apparatus.”2 Another patent notes that the unit may be used with narcotics, steroids, the marijuana constituent tetrahydrocannabinol (THC) and other substances.29

Part interchangeability is of particular concern since the performance, risks and safety associated with a particular brand's configuration might change significantly when that configuration is modified using third-party products. One study showed some variability in cartomizer unit performance when batteries were exchanged with those of the same brand.21 In the same study, one e-cigarette stopped producing aerosol when parts were exchanged with another (same model) unit. Furthermore, brand-specific e-liquid cartridges performed ‘significantly better’ at producing aerosols than third-party cartridges provided by a vendor.

Other concerns involve materials used in the aerosol generation process, aging and fouling. e-cigarettes that use a heating mechanism to create a nicotine vapour emit metallic particles and even nanoparticles of heating coil components in the aerosol, such as tin, iron, nickel and chromium.3 Lead, nickel and chromium appear on the US Food and Drug Administration's (FDA) ‘harmful and potentially harmful constituents (HPHC) list’.32 The safety of the inhalation of these metallic particles and nanoparticles has not been studied and could be a cause for concern. The use of alternative aerosol generation mechanisms may mitigate some of these safety questions, although it is uncertain whether these alternatives may also generate particle and nanoparticle emissions. Moreover, long-term e-cigarette performance and the associated generation of HPHCs have not been studied. As e-cigarettes age and become fouled, the products they generate may change. Automatic or manual heating element cleaning should be design considerations.

Many e-cigarettes use lithium batteries due to their ability to store large amounts of energy in a compact amount of space. However, the inherent characteristics of lithium batteries can pose a risk of fire and explosion. Poor design, use of low-quality materials, manufacturing flaws and defects, and improper use and handling can all contribute to a condition known as ‘thermal runaway’, whereby the internal battery temperature can increase to the point of causing a battery fire or even an explosion.33 The use of overcharging protection circuits, thermal power cut-offs and internal overpressure relief mechanisms can help prevent and mitigate thermal runaway.34

Critical information/tool gaps

Additional scientific studies are needed to evaluate the safety and effectiveness of e-cigarettes. Topics for future research include the following:

1. Understanding of the designs and functions of products currently on the US market is incomplete.

2. Variable and increased voltage e-cigarettes appear to introduce the ability to deliver increased nicotine concentrations.35 Higher voltages and other features may introduce the ability to manipulate particle size and increase aerosol mass. Little research is available concerning these functions.

3. Knowledge of all the materials involved in aerosol production is lacking.

4. Hazards associated with the use of batteries require further study. Failure mechanisms and the frequency of burn, shock and explosion hazards are unknown.

5. The possible presence, function and capabilities of the software, sensors and microprocessors incorporated into e-cigarettes are unknown. It is not known what health or topographical data are being collected or how the data may influence or affect regulation and health policies. Software vulnerabilities are also unknown.

6. The absence of standardised testing protocols compromises comparisons across studies. Standardised test protocols that allow for meaningful testing, categorisation and comparison of e-cigarette test results would be a valuable research tool.

7. Knowledge of product lifecycles, degradation over time, third-party component performance and misuse is needed.