MTH engines use fan-driven smoke units pulsed by an optic or mechanical switch in synch with the drive wheels. Those are not the same as Seuthe smoke units which have no fan or pulsing mechanism. Seuthe's vaporize smoke fluid constantly as long as there is enough, but not too much, smoke fluid in the unit. I've installed Train America Studios fan-driven smoke units in S-gauge trains which are very similar to those that MTH uses in their O-gauge engines. The units in their HO engines I'd imagine are scaled down versions of those. Back to the original question, however, how often do you typically need to refill a Seuthe 22 or 23 smoke unit? Thanks.