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Gas Analysis: Protecting Yourself from Carbon Monoxide Poisoning

Gas analysis means more than simply ferreting out the fractions of oxygen and helium in your breathing mix, particularly in remote areas. Temc De-Ox CEO Eugenio Mongelli and DAN Europe founder and president Dr. Alessandro Marroni review the dangers of CO poisoning and what you can do to avoid it.

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by Eugenio Mongelli and Dr. Alessandro Marroni
Header image: Temc De-Ox Carbon Monoxide analyses showing 30 ppm of CO. Not good! Photo courtesy of Temc.

We recently held a webinar that focused on analyzing your diving gas in order to detect potential carbon monoxide (CO) contamination of breathing gas. The webinar (see below), held on March 18, was supported by various diving agencies and organizations around the world.

It’s obvious that diving activities come with risks, and one liability is the quality of your breathing gas. In the current diving era, synthetic mixes, such as nitrox and trimix—to name just two—are widely available and frequently used. Unfortunately, the presence of  poisonous or life-threatening compounds in your diving gas is not as rare as you might think.

The mixing station at Zen Dive Co., Pasadena, California has a built-in carbon monoxide monitor. Photo by Francesco Cameli

Carbon monoxide (CO), an odorless, and tasteless gas that can build up in dive gas for a variety of reasons, as follows:

  1. Inefficient combustion of hydrocarbons (which, in turn, produces CO instead of CO2). 
  2. Oil pyrolysis in electrically powered air compressors, which is as a result of the compressor heating the breathing gas to more than 200°C/392°F during its last stage. This can occur if the compressor is not well maintained and or needs service.
  3. Exhaust from an endothermic engine, found in compressors using fuel or diesel engines.
  4. Cracking of oil residue in diving cylinders if the gas is not purged and the cylinder is not cleaned after a dive.
  5. Smoke from cigarettes.

Limits for CO in breathing gas must follow strict standards which have been issued by a variety of organizations and regulatory bodies including the European EN12021 CE standard, the US Navy Diving Manual (rev.7 2016 Point 4-3.1), and the U.S. Compressed Gas Association (CGA) (ANSI/CGA G-7.197). The consensus is that the limit of CO in breathable gas should be 5-10 ppm, or 0.0005%-0.001% concentration, which is an extremely low limit.

Gas Analysis Webinar. Who are those handsome italian men?

Some Medical Facts 

Carbon Monoxide Poisoning (COP) is a common medical problem worldwide. When at increased environmental pressure, CO’s ability to dissolve in blood and tissues is enhanced by its increased partial pressure.

COP can remain either completely undetectable or can present with a variety of symptoms: weakness, nausea, vertigo, headache, blurred vision, loss of consciousness, and coma. This list of symptoms is presented in order of frequency as well as the likelihood of exposure to a toxic CO concentration.

CO is 300 times more attracted to hemoglobin than it is to oxygen; so, when hemoglobin accepts oxygen atoms from CO, O2 is repelled, causing hemoglobin cells to suffer from lack of oxygen (cellular hypoxia). This process can affect every organ with long-term acute and chronic effects, including psychological disturbances. The cure is restoring hemoglobin’s affinity for oxygen with prompt and generous doses, displacing the unwanted CO molecules from blood, cells, and organs. 

Even if CO is expelled when exposure is over and normal air breathing resumes, the displacement process is slow, and hypoxic damage is still likely. Treatment with 100% O2 at 1 ATA will greatly accelerate the CO displacement process. Significantly quicker washout is obtained using Hyperbaric Oxygen administration (HBO), a treatment that exposes patients to high concentrations of oxygen at higher than 1 ATA. The following half-life figures make it clear just how effective HBO treatment is in expelling CO: 

  • CO half-life: 300 minutes
  • CO half-life in air at 1 ATM: 90 minutes 
  • CO half-life in 100% O2 at 1 ATA: 35 minutes
  • CO half-life in 100% O2 at 2.5 ATA: 22 minutes. 

We generally learn (or we should have been taught) about COP during our first open water course, and divers should take note of it.


  • Buddy Dive Bonaire

Over the last 15 years, CO analyzers designed for diving applications have not been available. The existing analyzers on the market were costly, not portable, required extensive calibration and setting adjustments, and did not have the proper sensitivity. The only way to measure CO was to use chemical tubes, which required extensive operator expertise and expensive devices. Without the appropriate technology, CO accidents happened.

Temc De-Ox makes one of the only portable CO monitors on the market. Photo by Temc De-Ox.

As a result, my company TEMC DE-OX began developing its own CO analyzer with the specific goals of simplicity (of use and maintenance), mobility, battery power, and affordable price. In 2008, we released the DE-OX SAFE analyzer, which not only met, but exceeded, our product goals.

I dive around the world, and I always bring my own unit with me. I check the air quality at diving centers, and always ask the owner’s permission to perform the test.  What I’ve found is that it’s not uncommon to find the presence of CO, but even if the concentration is within a safe limit, it’s enough to alert staff that something may have gone wrong during the filling process.

Dive shop owners are generally incredulous, and they tend to blame the analyzer at first but, once they understand that something could have gone wrong, they want to know what to do to prevent that from happening. I alert them to the risks of running an unserviced compressor and to the possibilities of filter, oil, or air intake malfunctions, along with the causes listed above. After all, ignoring your gas quality could come with a price you don’t want to pay.

Inline analysis. Photo courtesy of Dive Manchester UK: divemanchester.co.uk

The worst possible scenario is when dive shop owners understand, but because their shop hasn’t caused any (reported) accidents, they aren’t convinced there is a need. Unfortunately, ignoring your gas quality comes at a price no one wants to pay.

I was contacted some years ago by our Russian distributor who affirmed the value of  his CO integrated trimix analyzer. He reported that he had filled some rebreather cylinders using a gas booster to be used for a dive at 150 m/492 ft. But, during analysis, he had found the trimix contained 150ppm CO because the helium cylinder that was used had contained a soldering mix likely with argon, and the old mix hadn’t been thoroughly drained before being refilled with helium. The distributor now highly encourages divers to conduct a gas analysis before every dive.

Also, some Maldives friends of mine reported that they had detected over 50ppm of CO in their tanks, likely due to the exhaust from their liveaboard compressor’s fuel engine. The wind had changed direction during filling, directing the CO into the tanks. Luckily, the analyzer alerted the divers when it detected the high concentration.

Now, on every dive, wherever you are, please take care of yourself and analyze your gas. The life you save could be your own. 


Eugenio Mongelli was born in Rome, Italy, in 1965, and has been deeply attracted to the sea, diving, and scuba gear technology since childhood. Having learned to scuba dive in 1982, he first dived a closed oxygen rebreather in 1984 and then began using electronic closed-circuit rebreathers from the mid-1990s. Mongelli became a diving instructor in 1991 and is currently a free diving and scuba diving master instructor, and a rebreather and trimix instructor with FIPSAS, CMAS and TDI. 
Mongelli was happily surprised to discover aquaCORPS magazine in the early ‘90s, which opened his mind to new horizons in diving that have become his life path. A doctor in management engineering and a former naval officer, he founded the TEMC DE-OX company in 1996 with the intent of providing digital gas analyzers specifically designed for both sport divers as well as the military and commercial diving communities. Since then, he closely follows the development of technical diving in all aspects of training, learning, designing new gear, and has been an active part of the global diving community.  


Prof. Alessandro Marroni, MD, MSc, FUHM, FECB (aka “Doc”) is the founder and President of DAN Europe. He is a diving and hyperbaric physician and researcher, specializing in Occupational Medicine, Anesthesiology, and Intensive Care. A passionate diver since his early years, he learnt scuba at the age of 13 and has been an active Instructor since 1966. Author of over 250 scientific papers and publications, he is particularly active in underwater medicine research, with special interest in the prevention of barotrauma and dysbaric illnesses in diving, and in the development of advanced techniques for remote diver’s physiological monitoring and of bidirectional diving telemedicine. He serves as Vice President of the European Committee for Hyperbaric Medicine (ECHM), President of the European Foundation for the Education in Baromedicine, Secretary General of the European College of Baromedicine, and the past President of the International Academy of Underwater Sciences and Techniques, the International Congress on Hyperbaric Medicine, and the European Underwater and Baromedical Society.


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Equipment

InDepth’s Holiday Rebreather Guide: 2022 Update

Making a list. Checking it twice. Gonna find out which breathers are naughty or nice. That’s right! It’s time again for InDEPTH’s Holiday Rebreather Guide.
This year, the Guide features 28 models of back, chest, and side-mounted rebreathers, including two new entries, for your shopping operation. So, get out your pre-buy checklist, and that gift certificate and start ogling your loop of your fancy. Ho ho ho!

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InDepth’s Holiday Rebreather Guide: 2022 Update

by Michael Menduno, Amanda White and Kenzie Potter

Holiday images by Jason Brown, BARDO CREATIVE

1DEC 2022—Ho ho ho! Once again, we have updated InDEPTH’s Holiday Rebreather Guide adding two new rebreathers; the new Gemini sidemount mCCR from Fathom Systems, and the generic breathing Machine (GBM) back mounted eCCR from Scubatron. We also updated the features on the Divesoft Liberty sidemount, and the JJ-CCR. This year, Vobster Marine Systems was acquired by UK-based NAMMU Tech, which plans to rename and re-issue a version of the VMS Redbare. See link below.

Finally, Innerspace Systems’ founder Leon Scamahorn agreed to work on getting us the needed information to add the storied Megalodon to the Guide. Scratch last year’s coal, Xmas cookies for you Mr. Scamahorn! Happy holidays shoppers, here is our updated rebreather guide! Mind those PO2s!

17DEC2021: Ho Ho Ho! We have updated our Holiday Rebreather Guide with new rebreathers and updated features. Despite repeated requests, the only major closed circuit rebreather we are missing is Innerspace Systems’ Megalodon and its siblings. Tsk, tsk Leon Scamahorn, you’ve been a naughty boy! Behold, here is our updated guide. Mind those PO2s!

Sport diving rebreathers have come a long way since storied explorer Bill Stone trialed his 80 kg/176lb fully-redundant “Failsafe Rebreather For Exploration Diving” (F.R.E.D.), and spent a cool 24-hours underwater as part of his paradigm-shifting 1987 Wakulla Springs Project. In retrospect, looking back over the last 30-some years, the “Technical Diving Revolution,” which emerged in the late 1980s to late 1990s, was ultimately about the development and adoption of rebreather technology. 

Dr. Bill Stone’s manned trial of F.R.E.D. at Wakulla Springs (1987). Photo courtesy of the US Deep Caving Team

However, it took the fledgling tech community at least a decade to adapt mixed gas technology for open circuit scuba, including establishing the necessary supporting infrastructure, which was the first and necessary step in the move to rebreathers. A little more than a decade after Stone showcased FRED, British diving entrepreneur Martin Parker, managing director of then AP Valves, launched the “Buddy Inspiration,” the first production closed circuit rebreather designed specifically for sport divers, earning him the moniker, the “Henry Ford of Rebreathers.” [The brand name later became AP Diving] KISS Rebreathers followed a little more than a year later with its mechanical, closed circuit unit, now dubbed the KISS Classic. The rest as they say, is history, our history. 

Buddy Inspiration advertisement from 1998. Courtesy of AP Diving.

Today, though open-circuit mixed gas diving is still an important platform, rebreathers have become the tool of choice for deep, and long exploration dives. For good reason, with a greatly extended gas supply, near optimal decompression, thermal and weight advantages, bubble-free silence, and let’s not forget the cool factor, rebreathers enable tech divers to greatly extend their underwater envelope beyond the reach of open circuit technology. 

As a result, divers now have an abundance of rebreather brands to choose from. Accordingly, we thought it fitting this holiday season to offer up this geeky guide for rebreather shoppers. Want to find out whose breathers are naughty or nice? Here is your chance.

Your Geeky Holiday Guide

The idea for this holiday guide was originally proposed to us by Divesoft’s U.S. General Manager Matěj Fischer. Thank you Matěj! Interestingly, it doesn’t appear to have been done before. Our goal was to include all major brands of closed circuit rebreathers in back mount and sidemount configuration in order to enable shoppers to make a detailed comparison. In that we have largely succeeded. We  also included Halcyon Dive Systems’ semi-closed RB80 and more recent RBK sidemount unit, which are both being used successfully as exploration tools. 

Absent are US-based Innerspace Systems, which makes the Megalodon and other models, as well as Submatix, based in Germany, which manufactures the Quantum and sidemount SMS 200, neither of which returned our communications. M3S, which makes the Titan, declined our invitation to participate, as they recently discontinued their TITAN CCR—they will be coming out with a replacement unit, the TITAN Phoenix CCR in the near future. We did not include the MARES Horizon, a semi-closed circuit rebreather that is aimed at recreational divers. No doubt, there may be brands we inadvertently missed. Our apologies. Contact us. We can update.

Update (22JUL2021): French rebreather manufacturer M3S contacted us and sent us the specs for their updated chest-mounted Triton CCR, which are now included in the guide.

Update (9DEC2020): Submatix contacted us and the Guide now contains their Quantum (back mount) and SMS 200 (sidemount) rebreathers. We were also contacted by Open Safety Equipment Ltd. and have added their Apocalypse back mounted mechanical closed circuit rebreather.  We will add other units as they are presented to us by the vendors. 

It’s The Concept, Stupid

The plan was to focus on the feature sets of the various rebreathers to provide an objective means to compare various units. But features by themselves do not a rebreather make. As Pieter Decoene, Operations Manager at rEvo Rebreathers, pointed out to me early on, every rebreather is based on “a concept,” that is more than just the sum of its features. That is to say that the inventors focused on specific problems or issues they deemed important in their designs; think rEvo’s dual scrubbers, Divesoft’s redundant electronics, or integration of open and closed circuit in the case of Dive Rite’s recently launched O2ptima Chest Mount. Shoppers, please consider that as you peruse the various offerings. My thanks to Pieter, who helped us identify and define key features and metrics that should be considered.

Though not every unit on the market has been third-party tested according to Conformitè Europëenne (CE) used for goods sold in the European Union, we decided to use CE test results for some of the common feature benchmarks such as the Work of Breathing (WOB), and scrubber duration. For vendors that do not have CE testing, we suggested that they use the figures that they publicize in their marketing materials and asked that they specify the source of the data if possible. As such, the guide serves as an imperfect comparison, but a comparison nonetheless.

Santa’s Little Helper: Meet Rufus, BARDO’s Chief Muse Officer (CMO)

Also, don’t be misled by single figures, like work of breathing or scrubber duration as they serve only as a kind of benchmark—there is typically a lot more behind them. For example, whether a rebreather is easy to breathe or not is a function of elastance, work of breathing (WOB) and hydrostatic imbalance. In order to pass CE, the unit must meet CE test requirements for all three issues in all positions from head down, to horizontal trim, to being in vertical position (Watch that trim!), to lying on your back looking upwards. It’s more difficult to pass the tests in some positions versus others, and some units do better in some positions than others. 

The result is that some of the feature data, like WOB, is more nuanced than it appears at first glance. “The problem you have is people take one value (work of breathing for instance) and then buy the product based on that, but it just isn’t that simple an issue,” Martin Parker explained to me.  “It’s like people buying a BCD based on the buoyancy; bigger is better, right? Wrong! It’s the ability of the BCD to hold air near your centre of gravity determines how the BC performs. With rebreathers you can have good work of breathing on a breathing machine only to find it completely ruined by it’s hydrostatic imbalance or elastance.”

Due to their design, sidemount rebreathers are generally not able to pass CE requirements in all positions. Consequently, almost all currently do not have CE certification; the T-Reb has a CE certification with exceptions. However, that does not necessarily mean that the units haven’t been third-party tested. 

Note that the guide, which is organized alphabetically by manufacturer, contains the deets for each of their featured models. In addition, there are two master downloadable spreadsheets, one for back mounted units and one for sidemount. Lastly, I’d also like to give a shout out to British photog phenom Jason Brown and the BARDOCreative Team (Thank you Georgina!), for helping us inject a bit of the Xmas cheer into this geeky tech tome [For insiders: this was Rufus and Rey’s modeling debut!]. Ho, ho, hose!

With this background and requisite caveats, we are pleased to offer you our Rebreather Holiday Shoppers’ Guide. Happy Holidays!!

Ed. note: Most prices shown below were specified by manufacturer before tax.

Backmount Rebreathers

* In 2005, AP Diving launched its Vision electronics with In-Plane Switching (IPS) which enhances colour and visibility
**Typical scrubber duration using AP Tempstik increases practical duration to more than double CE test rate figures – as the AP Tempstik shows scrubber life based on actual work rate, water temperature and depth.
*** The work of breathing is the effort required to push gas around the breathing circuit BUT that figure alone is meaningless without knowing two other parameters: Hydrostatic load and elastance. Note that AP Diving rebreathers meet the CE requirements in all diver attitudes for both Hydrostatic Imbalance 0 degrees (horizontal, face down) and Hydrostatic Imbalance +90 degrees (vertical, head up.)
**** APD’s handset offers a “dual display” feature showing data from both controllers on the same handset. The user can also see the gradient factors chosen and the mVolt outputs of the cells by holding a button down.
* Divesoft will offer an upgrade for existing Liberty users

* Note that we plan to re-release our “Intervention CCR” (iCCR) in 2021. The unit was withheld due risk of loop being force dived when unsafe (pending re-release 2021).This enables the diver the option to manually trigger bailout to a known safe OC gas at any time with one finger and/or auto-bailout the diver if loop gas being breathed reaches unsafe level. Either Hi/Lo PPO2 or high End-Tidal CO2.
**For CE certification the recommended Apocalypse Type IV CCR scrubber duration is 2hr 45min to a maximum dive profile surface to surface of 100m in 4’C water to 2.0% SEV (20mb) at the mouth.
***iCCR (2009) 3x digital galvanic coax, iCCR (2021) x2 galvanic 1x solid state
****All performance data near near identical to single scrubber option other than increased scrubber duration of up to 5 hrs to 100 m profile in 4’C water)
Published Testing: https://www.opensafetyglobal.com/Safety_files/DV_OR_ScrubberEndurance_Retest_SRB_101215 .pdf https://www.opensafetyglobal.com/Safety_files/DV_OR_WOB_Respiratory_C1_101111.pdf https://www.opensafetyglobal.com/Safety_files/DV_DLOR_HydroImbal_101116.pdf
(FMECA) https://www.deeplife.co.uk/or_fmeca.php
* CisLunar series, MKVI 2009, SE7EN 2013, SE7EN+ 2019
** 40 m coldwater EN14143
*** Backmounted Trimix 10/70, 40M test: Backmounted Air
**** SE7EN+ Sport EU incl (harness, wing, computer, cylinders and sensors)

NOTE: Vobster Marine Systems were acquired by UK-based NAMMU Tech, which plans to rename and re-issue a version of the VMS Redbare (formerly the Sentinel) at some point in the future. See: Atlas CCR


 

Rey says he’s sticking to open circuit. What’s a Santa to do?

Sidemount Rebreathers

*Pre 2021 units are upgradebale
* For a tour of KISS rebreathers see: https://www.youtube.com/watch?v=lelpTfGSYeE
https://www.facebook.com/T-REB-678683672151944/

Frontmount Rebreathers

*Tested with standard DSV, 6l OTS counterlungs, Upright/face forward, 40 m depth, 40.0 lpm RMV, Air diluent
**Tested with standard DSV, 45° head up/feet down orientation, 40 m depth, 40.0 lpm RMV, Air diluent
*** Micropore ExtendAir Cartridge:
180 liters of CO2 @ < 50 deg F [<10 C] (130 minutes @1.35lpm CO2)
240 liters of CO2 @ 50-70 deg F [10-20C] (180 minutes @ 1.35lpm CO2)
300 liters of CO2 @ >70 deg F [>20C] (220 minutes @ 1.35lpm CO2)
Test Parameters: 40 lpm RMV 1.35 lpm CO2130 fsw (40 m) depth Granular duration may be similar, but can vary greatly depending upon the type of granular and packing technique

 Download our two master spreadsheets, one for back mounted units and one for sidemount to compare rebreathers.

Special thanks to Amy LaSalle at GUE HQ for her help assembling the feature spreadsheets.

  • Buddy Dive Bonaire

Michael Menduno is InDepth’s editor-in-chief and an award-winning reporter and technologist who has written about diving and diving technology for 30 years. He coined the term “technical diving.” His magazine aquaCORPS: The Journal for Technical Diving (1990-1996), helped usher tech diving into mainstream sports diving. He also produced the first Tek, EUROTek, and ASIATek conferences, and organized Rebreather Forums 1.0 and 2.0. Michael received the OZTEKMedia Excellence Award in 2011, the EUROTek Lifetime Achievement Award in 2012, and the TEKDive USA Media Award in 2018. In addition to his responsibilities at InDepth, Menduno is a contributing editor for DAN Europe’s Alert Diver magazine and X-Ray Magazine, a staff writer for DeeperBlue.com, and is on the board of the Historical Diving Society (USA)


Amanda White is the managing editor for InDepth. Her main passion in life is protecting the environment. Whether that means working to minimize her own footprint or working on a broader scale to protect wildlife, the oceans, and other bodies of water. She received her GUE Recreational Level 1 certificate in November 2016 and is ecstatic to begin her scuba diving journey. Amanda was a volunteer for Project Baseline for over a year as the communications lead during Baseline Explorer missions. Now she manages communication between Project Baseline and the public and works as the content and marketing manager for GUE. Amanda holds a Bachelor’s degree in Journalism, with an emphasis in Strategic Communications from the University of Nevada, Reno.


Kenzie Potter Stephens is a production artist for InDepth as well as part of the GUE marketing team. She earned her BS degree in Industrial Engineering and Marketing at the Karlsruhe Institute of Technology (KIT) in Germany, which assists her in using her multicultural upbringing to foster international growth within the community. In addition to her activities as a yoga teacher and an underwater rugby trainer, she has completed her GUE Tech 1 and Cave 1 training and is on her way to becoming a GUE instructor. Not letting any grass grow under her feet, she has also taken on a second major in biochemistry in order to create a deeper understanding of our planet’s unique ecosystems as well as the effect of diving on human physiology.

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