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CS 311193-B
E-CIGARETTE, OR VAPING,
PRODUCTSVISUALDICTIONARY
2
Disclaimer
	● This product is intended for educational purposes only for public
health officials and healthcare providers.
	● The devices and brands presented in this pamphlet are intended to
highlight the different e-cigarette, or vaping, product generations and
substances used in these devices. The use of brand names does not
constitute product endorsement.
	● Contents of this pamphlet should not be modified.
	● Note for Accessibility: Explanation of graphics on pages 13, 15, and 17
can be found in Appendix on page 25.
3
Vaping Devices
E-Cigarette, or Vaping, Products
E-cigarette, or vaping, products can be used to deliver nicotine, cannabis (THC, CBD),
flavorings, chemicals, and other substances.
They are known by many different names and come in many shapes, sizes and device
types. Devices may be referred to as
	● E-cigs
	● Vapes
	● Vape pens, dab pens, and dab rigs
	● Tanks
	● Mods
	● Pod-Mods
	● Electronic nicotine delivery systems
(ENDS)
Use of e-cigarette, or vaping, products is sometimes referred to as “vaping” or “juuling.”
E-cigarette, or vaping, products used for dabbing are sometimes called “dab” pens.
4
Contents
E-Cigarette, or Vaping, Products Visual Dictionary
Disclaimer.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Devices. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
The Evolution of E-Cigarette, or Vaping, Products. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Anatomy of an E-Cigarette.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
First Generation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Disposable E-cigarettes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Second Generation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
E-Cigarettes with Prefilled or Refillable Cartridge. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Third Generation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Tanks or Mods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Sub-Ohm Tank . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Fourth Generation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Pod Mods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Vaporizers. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Classifying E-Cigarettes, or Vaping, Products. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Substances. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
E-Liquid. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Marijuana.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Dabbing. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
CBD. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Synthetic Cannabinoids. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Hacking or Modifying. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
Hacking Pods or Cartridges. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Hacking a Mod System. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Dripping. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Appendix. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
55
Devices
6
The Evolution of E-Cigarette, or Vaping, Products
1st
GENERATION
Disposable
e-cigarettes
2nd
GENERATION
E-cigarettes
with prefilled
or refillable
cartridge
3rd
GENERATION
Tanks or Mods
(refillable)
4th
GENERATION
Pod Mods
(prefilled or
refillable)
77
Anatomy of an E-Cigarette
THE E-CIGARETTE
THE CARTRIDGE
This holds the e-liquid
(substance). It comes
prefilled or refillable. It is
usually combined with an
atomizer as one unit.
THE ATOMIZER
It is a coil that is a heating
element which helps
convert e-liquid to tiny
airborne droplets (aerosol).
THE SENSORS
E-cigarettes without a
power button will turn
on when the user inhales
through it. E-cigarettes
with or without a power
button require sensors to
turn on.
THE BATTERY
It is a rechargeable lithium
ion battery, which provides
enough current to heat the
atomizer to 400 degrees
Fahrenheitt in seconds.
Mod Box
It is a 3rd generation
device that is
modifiable (“Mod”)
allowing users to
change the voltage,
coils and wicks.
Sub-Ohm Tank
It is made of plastic
or metal with
transparent casing
so liquid levels can
be seen. It contains a
lower resistance coil
that allows the liquid
to heat up faster.
Cartridge
It is made of plastic
or metal with
transparent casing
so liquid levels can
be seen. It contains
an atomizer that
heats up the e-liquid.
E-Liquid
E-liquid is contained
in a pod, cartridge
or tank. It is made
up of a mixture of
substances that
includes nicotine,
cannabis, and/or
flavoring.
88
First Generation
Disposable E-cigarettes
	● A type of e-cigarette designed to be used one
time, only.
	● These devices are not rechargeable or refillable.
	● They are discarded when it runs out of charge or
e-liquid.
	● They are designed to mimic the look and feel of
combustible cigarettes. These are sometimes
referred to as “cigalikes”
9
Second Generation
E-Cigarettes with Prefilled or
Refillable Cartridge
	● A type of rechargeable e-cigarette, or vaping, product
designed to be used multiple times.
	● E-liquid comes in prefilled or refillable cartridges. Substances may include nicotine,
cannabis (THC, CBD), flavoring, solvents, or other substances.
	● The cartridge is attached to a battery pen—which contains the battery.
	● Cartridge and battery pen are typically purchased separately. They can be bought
in starter packs.
9
1010
Third Generation
Tanks or Mods
	● A type of rechargeable e-cigarette, or vaping,
product designed to be used multiple times.
	● They are modifiable devices (“mods”), allowing
users to customize the substances in the device.
11
Third Generation
Sub-Ohm Tank
	● Sub-ohm tank contains low resistance coils. It is
designed to create a large cloud (aerosol) with a
stronger delivery or hit of nicotine or other substances.
11
12
Fourth Generation
Pod Mods
	● Pod Mod is an e-cigarette, or vaping, product with a prefilled or refillable
‘‘pod’’ or pod cartridge with a modifiable (mod) system (“Pod-Mods”)
	● These are other examples of fourth generation devices. Pod Mods come
in many shapes, sizes, and colors.
	● Common Pod Mod brands include JUUL® and Suorin ®
	● There are compatible prefilled pod cartridges that contain nicotine, THC,
or CBD with or without flavoring.
12
13
Fourth Generation
For accessibility, explanation of graphic can be found in Appendix, page 25.
Pod Mods
	● Pod Mods typically use nicotine salts rather than the freebase nicotine
used in most other e-cigarette, or vaping, products.
	● Nicotine salts, which have a lower pH than free base nicotine, allow
particularly high levels of nicotine to be inhaled more easily and with less
irritation to the throat than freebase nicotine.
13
14105 1283
acidic
Nicotine
Salts
alkaline
Freebase
Nicotine
neutral
1 1394 116 720
14
Vaporizers
Vaporizers
	● An inhalation device used to release the active substances of organic or
inorganic materials in the form of an aerosol through the application of
non-combusting heat
	● Vaporizers can be used to aerosolize dry herbs, wax, and oil. For
example, vaporizers are used to heat marijuana to a point where its
active ingredients (e.g., THC) are released in an aerosol and inhaled.
14
15
Classifying E-Cigarettes, or Vaping, Products
How to Classify the User’s E-Cigarette, or Vaping, Product
For an accessible explanation of schematic below on how to classify e-cigarettes, go to Appendix, page 25.
Important notes:
1.	 E-liquids can contain nicotine, THC, CBD, flavors, or other solvents.
2.	Marijuana herb, hash oil, dab wax are used with vaporizers.
QUESTION 1:
Is the e-liquid
contained in
a disposable
e-cigarette,
cartridge, tank,
or pod?
Disposable
e-cigarette
(no cartridge,
tank or pod)
1st
GENERATION
(Cigalike)
Cartridge
(Prefilled
or
refillable)
QUESTION 2:
Is the cartridge
also called
a pod cartridge
or contains
nicotine salts?
NO
2nd
GENERATION
(Battery Pen)
Tank/
Sub-Ohm
(Refillable)
3rd
GENERATION
(Modifiable—allows
variable voltage/watts)
Pod
(Prefilled or
refillable)
4th
GENERATION
(Pod Mod)
Marijuana
herb, oil,
dab wax
Vaporizer,
Dab rig,
Dab pen
YES
1515
Substances
16
17
E-Liquid
E-Liquid
	● E-liquid is the liquid that is converted into an aerosol by an e-cigarette, or
vaping, product. It is typically a mixture of water, food grade flavoring, a choice
of nicotine levels, cannabis (THC, CBD), propylene glycol (PG) or vegetable
glycerin (VG).
	● PG and VG are humectants used in e-liquid to produce aerosols that simulate
combustible tobacco cigarette smoke.
	● The ratio of PG and VG in the e-liquid can change based on whether flavor
(higher levels of PG) or plume (higher levels of VG) is desired.
For accessibility, explanation of regular e-liquid vs. cannabis e-liquid graphic below can be found in Appendix, page 25.
17
regular e-liquid vs. cannabis e-liquid
Tetrahydrocannabinol
(THC)
Cannabidiol
(CBD)
Nicotine
Flavors
Propylene Glycol
(PG)
Vegetable Glycerine
(VG)
1818
Marijuana
Marijuana
	● Also called weed, herb, pot, grass, bud, ganja, Mary Jane, and a vast number
of other slang terms—is a greenish-gray mixture of the dried flowers of
Cannabis sativa.
	● THC is the main psychoactive chemical in marijuana.
	● THC and terpenes (aromatic oils) are extracted from marijuana as THC
concentrates, hash oil, and wax. These derived products, crumble, shatter, wax,
and dry sift/kief, have a high dosage of THC.
	● Marijuana contains much more THC than hemp, while hemp has more
cannabidiol (CBD).
Marijuana Bud
Wax
Crumble
Dry Sift/Kief
Shatter
19
Dabbing
Dabbing
	● Dabbing or dibbing is a process that allows the user to inhale a high
concentration of THC by aerosolizing of a concentrate that has been placed on
a hot surface (the “nail”).
	● Dabbing is also a term used when using THC concentrates and wax in a dab
pen or a vaporizer.
19
Dab Rig Concentrate Torch
2020
CBD
CBD
	● CBD stands for cannabidiol and it is derived from cannabis, marijuana and hemp.
	● CBD is the main ingredient in hemp and the second main ingredient in marijuana
after THC.
	● CBD is not a psychoactive substance.
21
Synthetic Cannabinoids
Synthetic Cannabinoids
	● Synthetic cannabinoids are a class of synthetic molecules that bind to
cannabinoid receptors in the brain and body (the same receptors to which THC
and CBD attach).
	● They are “designer drugs” that are usually smoked and have been marketed as
herbal incense, or “herbal smoking blends”.
	● They are sold under common names like K2, Spice, Black Mamba, Kronic and
Synthetic Marijuana.
22
Hacking or Modifying
Hacking Pods or Cartridges
Hacking or Modifying
Devices or Liquid
Cartridges
	● “Hacking” may include any
post-market modifications
to the device that are
beyond the intended use by
the manufacturer.
	● For example, users may
“hack” closed systems (such
as pod/cartridge devices) to
refill these cartridges with
other substances.
	● This is different than “mod”
devices, which are intended
to be customized by the user.
23
24
Hacking a Mod System
Dripping
	● Users hack the mod system
in order to create a bigger hit
(amount) of the substance
used. This is done by
increasing the temperature
used to heat the e-liquid.
Dripping is when users
expose the heating coils to
“drip” liquids directly on the
heating device and get a
more flavorful and thicker
cloud of aerosol.
	● Dripping is dangerous
because it can expose
users to higher levels of
the substance (nicotine,
cannabis) and to harmful
toxins, such as formaldehyde
and acetaldehyde, which are
known carcinogens.
25
Appendix
Explanation of Graphics for Accessibility
Page 13—Graphic acompanying Pod Mods: This is an illustration of a colorful pH range from pH 0
to 14. pH 0 to 6 is indicated as acidic. pH 7 is indicated as neutral. pH 8 to14 is indicated as
alkaline. Below is a regular cigarette pack with freebase nicotine that has a high pH which
is alkaline. Fourth generation e-cigarette, vaping, products contain nicotine salts that has a
low pH which is acidic. (page 13)
Page 15—How to Classify the User’s E-Cigarette, or Vaping, Product: This is a schematic to help
classify e-cigarette, or vaping, products based on the substance and device the e-liquid
is contained in. Classifying e-cigarettes, or vaping, products correctly will aid public
health officials and healthcare providers in reporting devices used by users experiencing
symptoms from these products.
Important notes:
3.	E-liquids can contain nicotine, THC, CBD, flavors, or other solvents.
4.	Marijuana herb, hash oil, dab wax are used with vaporizers.
First question to ask, is the e-liquid contained in a disposable e-cigarette, cartridge,
tank or pod?
	● If it is a disposable e-cigarette then the device is classified as a first generation device.
	● If it is a cartridge then a second question is asked. Is the cartridge also called a pod
cartridge or contains nicotine salts? If the answer is no, then it is a second generation
device. If the answer is yes then it is a fourth generation device.
	● If it is a tank or a sub-ohm tank then the device is classified as a third generation device.
	● If it is a pod then the device is classified as a fourth generation device.
	● If the user is using marijuana herb, oil, or dab wax then the device is either a vaporizer,
dab rig or dab pen. (page 15)
Page 17—Illustrative example of differences between regular e-liquid and cannabis e-liquid. Regular
e-liquid contains nicotine, propylene glycol, vegetable glycerin, and flavors. Cannabis
e-liquid contains Tetrahydrocannabinol (THC) and Cannabidiol (CBD). (page 17)
CS 311193-B

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Ecigarette or vaping products visual dictionary

  • 1. CS 311193-B E-CIGARETTE, OR VAPING, PRODUCTSVISUALDICTIONARY
  • 2. 2 Disclaimer ● This product is intended for educational purposes only for public health officials and healthcare providers. ● The devices and brands presented in this pamphlet are intended to highlight the different e-cigarette, or vaping, product generations and substances used in these devices. The use of brand names does not constitute product endorsement. ● Contents of this pamphlet should not be modified. ● Note for Accessibility: Explanation of graphics on pages 13, 15, and 17 can be found in Appendix on page 25.
  • 3. 3 Vaping Devices E-Cigarette, or Vaping, Products E-cigarette, or vaping, products can be used to deliver nicotine, cannabis (THC, CBD), flavorings, chemicals, and other substances. They are known by many different names and come in many shapes, sizes and device types. Devices may be referred to as ● E-cigs ● Vapes ● Vape pens, dab pens, and dab rigs ● Tanks ● Mods ● Pod-Mods ● Electronic nicotine delivery systems (ENDS) Use of e-cigarette, or vaping, products is sometimes referred to as “vaping” or “juuling.” E-cigarette, or vaping, products used for dabbing are sometimes called “dab” pens.
  • 4. 4 Contents E-Cigarette, or Vaping, Products Visual Dictionary Disclaimer.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Devices. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 The Evolution of E-Cigarette, or Vaping, Products. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Anatomy of an E-Cigarette.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 First Generation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Disposable E-cigarettes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Second Generation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 E-Cigarettes with Prefilled or Refillable Cartridge. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Third Generation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Tanks or Mods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Sub-Ohm Tank . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Fourth Generation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Pod Mods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Vaporizers. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Classifying E-Cigarettes, or Vaping, Products. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 Substances. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 E-Liquid. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 Marijuana.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Dabbing. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 CBD. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 Synthetic Cannabinoids. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 Hacking or Modifying. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 Hacking Pods or Cartridges. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 Hacking a Mod System. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24 Dripping. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24 Appendix. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
  • 6. 6 The Evolution of E-Cigarette, or Vaping, Products 1st GENERATION Disposable e-cigarettes 2nd GENERATION E-cigarettes with prefilled or refillable cartridge 3rd GENERATION Tanks or Mods (refillable) 4th GENERATION Pod Mods (prefilled or refillable)
  • 7. 77 Anatomy of an E-Cigarette THE E-CIGARETTE THE CARTRIDGE This holds the e-liquid (substance). It comes prefilled or refillable. It is usually combined with an atomizer as one unit. THE ATOMIZER It is a coil that is a heating element which helps convert e-liquid to tiny airborne droplets (aerosol). THE SENSORS E-cigarettes without a power button will turn on when the user inhales through it. E-cigarettes with or without a power button require sensors to turn on. THE BATTERY It is a rechargeable lithium ion battery, which provides enough current to heat the atomizer to 400 degrees Fahrenheitt in seconds. Mod Box It is a 3rd generation device that is modifiable (“Mod”) allowing users to change the voltage, coils and wicks. Sub-Ohm Tank It is made of plastic or metal with transparent casing so liquid levels can be seen. It contains a lower resistance coil that allows the liquid to heat up faster. Cartridge It is made of plastic or metal with transparent casing so liquid levels can be seen. It contains an atomizer that heats up the e-liquid. E-Liquid E-liquid is contained in a pod, cartridge or tank. It is made up of a mixture of substances that includes nicotine, cannabis, and/or flavoring.
  • 8. 88 First Generation Disposable E-cigarettes ● A type of e-cigarette designed to be used one time, only. ● These devices are not rechargeable or refillable. ● They are discarded when it runs out of charge or e-liquid. ● They are designed to mimic the look and feel of combustible cigarettes. These are sometimes referred to as “cigalikes”
  • 9. 9 Second Generation E-Cigarettes with Prefilled or Refillable Cartridge ● A type of rechargeable e-cigarette, or vaping, product designed to be used multiple times. ● E-liquid comes in prefilled or refillable cartridges. Substances may include nicotine, cannabis (THC, CBD), flavoring, solvents, or other substances. ● The cartridge is attached to a battery pen—which contains the battery. ● Cartridge and battery pen are typically purchased separately. They can be bought in starter packs. 9
  • 10. 1010 Third Generation Tanks or Mods ● A type of rechargeable e-cigarette, or vaping, product designed to be used multiple times. ● They are modifiable devices (“mods”), allowing users to customize the substances in the device.
  • 11. 11 Third Generation Sub-Ohm Tank ● Sub-ohm tank contains low resistance coils. It is designed to create a large cloud (aerosol) with a stronger delivery or hit of nicotine or other substances. 11
  • 12. 12 Fourth Generation Pod Mods ● Pod Mod is an e-cigarette, or vaping, product with a prefilled or refillable ‘‘pod’’ or pod cartridge with a modifiable (mod) system (“Pod-Mods”) ● These are other examples of fourth generation devices. Pod Mods come in many shapes, sizes, and colors. ● Common Pod Mod brands include JUUL® and Suorin ® ● There are compatible prefilled pod cartridges that contain nicotine, THC, or CBD with or without flavoring. 12
  • 13. 13 Fourth Generation For accessibility, explanation of graphic can be found in Appendix, page 25. Pod Mods ● Pod Mods typically use nicotine salts rather than the freebase nicotine used in most other e-cigarette, or vaping, products. ● Nicotine salts, which have a lower pH than free base nicotine, allow particularly high levels of nicotine to be inhaled more easily and with less irritation to the throat than freebase nicotine. 13 14105 1283 acidic Nicotine Salts alkaline Freebase Nicotine neutral 1 1394 116 720
  • 14. 14 Vaporizers Vaporizers ● An inhalation device used to release the active substances of organic or inorganic materials in the form of an aerosol through the application of non-combusting heat ● Vaporizers can be used to aerosolize dry herbs, wax, and oil. For example, vaporizers are used to heat marijuana to a point where its active ingredients (e.g., THC) are released in an aerosol and inhaled. 14
  • 15. 15 Classifying E-Cigarettes, or Vaping, Products How to Classify the User’s E-Cigarette, or Vaping, Product For an accessible explanation of schematic below on how to classify e-cigarettes, go to Appendix, page 25. Important notes: 1. E-liquids can contain nicotine, THC, CBD, flavors, or other solvents. 2. Marijuana herb, hash oil, dab wax are used with vaporizers. QUESTION 1: Is the e-liquid contained in a disposable e-cigarette, cartridge, tank, or pod? Disposable e-cigarette (no cartridge, tank or pod) 1st GENERATION (Cigalike) Cartridge (Prefilled or refillable) QUESTION 2: Is the cartridge also called a pod cartridge or contains nicotine salts? NO 2nd GENERATION (Battery Pen) Tank/ Sub-Ohm (Refillable) 3rd GENERATION (Modifiable—allows variable voltage/watts) Pod (Prefilled or refillable) 4th GENERATION (Pod Mod) Marijuana herb, oil, dab wax Vaporizer, Dab rig, Dab pen YES 1515
  • 17. 17 E-Liquid E-Liquid ● E-liquid is the liquid that is converted into an aerosol by an e-cigarette, or vaping, product. It is typically a mixture of water, food grade flavoring, a choice of nicotine levels, cannabis (THC, CBD), propylene glycol (PG) or vegetable glycerin (VG). ● PG and VG are humectants used in e-liquid to produce aerosols that simulate combustible tobacco cigarette smoke. ● The ratio of PG and VG in the e-liquid can change based on whether flavor (higher levels of PG) or plume (higher levels of VG) is desired. For accessibility, explanation of regular e-liquid vs. cannabis e-liquid graphic below can be found in Appendix, page 25. 17 regular e-liquid vs. cannabis e-liquid Tetrahydrocannabinol (THC) Cannabidiol (CBD) Nicotine Flavors Propylene Glycol (PG) Vegetable Glycerine (VG)
  • 18. 1818 Marijuana Marijuana ● Also called weed, herb, pot, grass, bud, ganja, Mary Jane, and a vast number of other slang terms—is a greenish-gray mixture of the dried flowers of Cannabis sativa. ● THC is the main psychoactive chemical in marijuana. ● THC and terpenes (aromatic oils) are extracted from marijuana as THC concentrates, hash oil, and wax. These derived products, crumble, shatter, wax, and dry sift/kief, have a high dosage of THC. ● Marijuana contains much more THC than hemp, while hemp has more cannabidiol (CBD). Marijuana Bud Wax Crumble Dry Sift/Kief Shatter
  • 19. 19 Dabbing Dabbing ● Dabbing or dibbing is a process that allows the user to inhale a high concentration of THC by aerosolizing of a concentrate that has been placed on a hot surface (the “nail”). ● Dabbing is also a term used when using THC concentrates and wax in a dab pen or a vaporizer. 19 Dab Rig Concentrate Torch
  • 20. 2020 CBD CBD ● CBD stands for cannabidiol and it is derived from cannabis, marijuana and hemp. ● CBD is the main ingredient in hemp and the second main ingredient in marijuana after THC. ● CBD is not a psychoactive substance.
  • 21. 21 Synthetic Cannabinoids Synthetic Cannabinoids ● Synthetic cannabinoids are a class of synthetic molecules that bind to cannabinoid receptors in the brain and body (the same receptors to which THC and CBD attach). ● They are “designer drugs” that are usually smoked and have been marketed as herbal incense, or “herbal smoking blends”. ● They are sold under common names like K2, Spice, Black Mamba, Kronic and Synthetic Marijuana.
  • 23. Hacking Pods or Cartridges Hacking or Modifying Devices or Liquid Cartridges ● “Hacking” may include any post-market modifications to the device that are beyond the intended use by the manufacturer. ● For example, users may “hack” closed systems (such as pod/cartridge devices) to refill these cartridges with other substances. ● This is different than “mod” devices, which are intended to be customized by the user. 23
  • 24. 24 Hacking a Mod System Dripping ● Users hack the mod system in order to create a bigger hit (amount) of the substance used. This is done by increasing the temperature used to heat the e-liquid. Dripping is when users expose the heating coils to “drip” liquids directly on the heating device and get a more flavorful and thicker cloud of aerosol. ● Dripping is dangerous because it can expose users to higher levels of the substance (nicotine, cannabis) and to harmful toxins, such as formaldehyde and acetaldehyde, which are known carcinogens.
  • 25. 25 Appendix Explanation of Graphics for Accessibility Page 13—Graphic acompanying Pod Mods: This is an illustration of a colorful pH range from pH 0 to 14. pH 0 to 6 is indicated as acidic. pH 7 is indicated as neutral. pH 8 to14 is indicated as alkaline. Below is a regular cigarette pack with freebase nicotine that has a high pH which is alkaline. Fourth generation e-cigarette, vaping, products contain nicotine salts that has a low pH which is acidic. (page 13) Page 15—How to Classify the User’s E-Cigarette, or Vaping, Product: This is a schematic to help classify e-cigarette, or vaping, products based on the substance and device the e-liquid is contained in. Classifying e-cigarettes, or vaping, products correctly will aid public health officials and healthcare providers in reporting devices used by users experiencing symptoms from these products. Important notes: 3. E-liquids can contain nicotine, THC, CBD, flavors, or other solvents. 4. Marijuana herb, hash oil, dab wax are used with vaporizers. First question to ask, is the e-liquid contained in a disposable e-cigarette, cartridge, tank or pod? ● If it is a disposable e-cigarette then the device is classified as a first generation device. ● If it is a cartridge then a second question is asked. Is the cartridge also called a pod cartridge or contains nicotine salts? If the answer is no, then it is a second generation device. If the answer is yes then it is a fourth generation device. ● If it is a tank or a sub-ohm tank then the device is classified as a third generation device. ● If it is a pod then the device is classified as a fourth generation device. ● If the user is using marijuana herb, oil, or dab wax then the device is either a vaporizer, dab rig or dab pen. (page 15) Page 17—Illustrative example of differences between regular e-liquid and cannabis e-liquid. Regular e-liquid contains nicotine, propylene glycol, vegetable glycerin, and flavors. Cannabis e-liquid contains Tetrahydrocannabinol (THC) and Cannabidiol (CBD). (page 17) CS 311193-B