Let's turn our attention back to the report. To refresh our memories, this is the abstract for the article.
The objective of this study was to determine nicotine and the nicotine related impurities, that is, cotinine, myosmine, anatabine, anabasine, and b-nicotyrine, in electronic cigarette cartridges, the liquid used to fill the cartridges, and from smoke generated using the electronic cigarette devices. An HPLC method was validated for the determination. Samples of nicotine containing products were purchased via the internet from NJOY, Smoking Everywhere, CIXI, and Johnson Creek. Electronic cigarette devices were purchased from NJOY, Smoking Everywhere, and CIXI. The results from the testing found that (1) the nicotine content labeling was not accurate with some manufacturers, (2) nicotine is present in the ‘‘smoke’’ from electronic cigarettes, and (3) nicotine related impurities contents in cartridges and refills were found to vary by electronic cigarette manufacturer.
Given that objective, you would expect to see some tables in the report that shows the quantities detected of each of the nicotine related impurities for each of the four brands tested, no?
Under the section heading
Nicotine Related Impurities in Cartridge Extracts, we find Table 2, which lists the "Nicotine Label Content versus Nicotine Content Found for Cartridges from Three Different Manufacturers."
Smoking Everywhere
0 mg. cartridges - ranged from 0.0 to 0.1 mg.
6 mg. cartridges - ranged from 1.0 to 2.7 mg.
11 mg. cartridges - ranged from 2.7 to 5.2 mg.
16 mg. cartridges - ranged from 4.2 to 6.0 mg.
NJOY
6 mg. cartridge - 5.2 mg.
12 mg. cartridges - ranged from 4.3 to 5.3 mg.
18 mg. cartridge - 6.8 mg.
CIXI
0 mg. cartridges - ranged from 0.07 to 21.8 mg.
16 mg. cartridges - ranged from 0.00 to 21.00 mg.
24 mg. cartridges - ranged from 0.09 to 20.6 mg.
My observations: Either the FDA's extraction methods were a bit off, or all three companies have quality control issues, with CIXI being the absolute worst. But I do find it strange that FDA did not use a consistent number of samples such as 4 cartridges for each label value for each of the companies.
Next up, TABLE 3 "Results from CIXI for Nicotine and Nicotine Related Impurities in Cartridges Expressed as mg=Cartridge"
The column headings were Cotinine, Myosmine, Anatabine, Anabasine, Nicotine, b-Nicotyrine
The report states, "All nicotine containing products contained nicotine related substances. Results shown are representative of impurity levels observed for other manufacturers except for anatabine levels."
Now the curious thing is that none of the other manufacturers offer 24 mg E-......, 0 mg E-......, 0 mg E-rimonabant, 24 mg E-rimonabant, 16 mg E-rimonabant, or 16 mg E-....... Maybe these are popular options in China, but (correct me if I'm wrong) I don't see American men getting all excited about these "flavors". Nevertheless, the FDA lab did find some Myosamine and Anatabine in these flavors, as well as in a product labeled 24 mg, Marlboro Taste. No impurities were found in in the 0, 16, and 24 mg "regular" flavors.
Given all this, how is the reader expected to extrapolate impurity values for the other brands? My guess would have to be that they would have had to list "ND" (for not detected) or "<LOQ" (below the limit of quantification) for all the other samples, and the table would have been unwieldy.
Next we come to the heading
Nicotine and Nicotine Related Impurities in Puff Trapping Solutions. This must be the "smoke" referred to in the abstract. The report states, "Although, nicotine related impurities were not detected in the puffs above the LOQ for the electronic cigarettes, this is attributable to the lower nicotine delivery observed and not the absence of nicotine impurities in the smoke."
Translation: Just because there wern't any impurities in the unvaporized liquid, and we couldn't find any in the vapor itself, doesn't mean that those impurities aren't there!!!
In Table 6, again CIXI is the lone e-cigarette vendor displayed, and the values were all ND or <LOQ for the impurities. Nicotine ranged from 50 to 254. Results were expressed in micrograms per thirty 100mL puffs. Table 6 also listed values for a traditional cigarette: 313 Cotinine, 220 Myosmine, 117Anatabine, 540 Anabasine, 4,558 Nicotine, and <LOQ b-Nicotyrine.
I had no argument with their conclusion that the products do deliver nicotine, "although the amount of nicotine delivered will be greatly impacted by the ‘‘smoking’’ habits of the consumer." I also agree that they found significant labeling issues, in view of the wide range of nicotine content in the cartridges tested for three of the manufacturers. However, in all fairness, they should have pointed out that the nicotine values measured for Johnson Creek refill liquid in Table 4 were very, very close to the label amount, ranging from 100.2% of the label value to 110.8% (18 mg Tennessee Cured was found to contain 19.9 mg/ml.) The statement "Some products were found to contain high concentrations of nicotine when labeled not to contain nicotine" should have been qualified by pointing out that only the CIXI brand contained significant amounts of nicotine in the 0 nicotine product.
Considering the first sentence of the abstract, I find it an egregious omission that the Conclusion section failed to point out that their testing did not detect impurities in the liquid, except for the adulterated products sold by CIXI, and that there were no impurities detected in the vapor of any of the brands tested.
That's my
