Quantification of 16 Metals in Fluids and Aerosols From Ultrasonic Pod-Style Cigarettes and Comparison to Electronic Cigarettes.

backgroundElectronic cigarette (e-cigarette) fluids and aerosols contain metals, which can be detrimental to human health. Recently marketed ultrasonic cigarettes (u-cigarettes) claim to be less harmful than e-cigarettes, which use heating coils.

objectivesWe quantified chemical elements/metals in multiple flavors of SURGE u-cigarettes, JUUL e-cigarettes, and "Other Brands" of pod-style e-cigarettes.

methodsElements/metals were identified in atomizers of SURGE using a scanning electron microscope and energy-dispersive X-ray spectrometer. Quantitation of elements/metals in fluids and aerosols from SURGE, JUUL, and "Other Brands" was performed using inductively coupled plasma optical emission spectroscopy.

resultsU-cigarettes contained a sonicator, unlike e-cigarettes, which had heated coils. Sixteen elements were identified in at least one fluid or aerosol sample. Generally, u-cigarette fluids and aerosols had more elements/metals at higher concentrations than aerosols from fourth-generation e-cigarettes. Element concentrations generally increased in fluids after vaping. All products, including SURGE, had silicon in their fluids and aerosols. Nickel, which was present in low concentrations in all fluids except KWIT Stick (up to DISCUSSION: SURGE u-cigarettes produce aerosols with metals equivalent to heated coil-style e-cigarettes and had high levels of arsenic and selenium, which are a health concern. Regulations limiting arsenic and selenium in these products are needed, and routine surveillance to identify rogue products, such as KWIT Stick, which have abnormally high levels of nickel or other metals, could protect human health. https://doi.org/10.1289/EHP15648.