Objective: Electronic Cigarettes (EC) use continues to increase with many efforts underway to develop dose-response relationships for clinical and sub-clinical purposes. This study investigated the battery performance of several variable voltage (VV) ECs capable of varied voltage outputs.Materials and Methods: Six brands of VV EC batteries were tested for dial setting accuracy (voltage) and power supplied during simulated vaping. All measurements were conducted using a single atomizer with two different resistance coils at four voltage settings in a blocked randomized structure. Battery dial settings were accurate when disconnected from an atomizer.Results: When powering an atomizer during simulated vaping, all batteries supplied power linearly up to approximately 8.5 watts. Beyond 8.5 watts all batteries began to undersupply power, plateauing around 9-10 watts, depending on the specific battery.Discussion: This behavior was not consistent with battery internal resistance. Undersupply of power at higher device settings will result in lower-than-expected nicotine (or THC) delivery and potentially lower pyrolysis products such as aldehydes.Conclusion: Studies seeking to associate VV EC power with psychological, physiological or toxicological effects should measure the actual power supplied or else a negative bias is likely to be observed in trials above 8.5 watts.
Keywords: Electronic cigarette; battery output; premarket tobacco application; vaping; variable voltage.