Electrosurgical generator with continuously and arbitrarily variable crest factor

1. An electrosurgical generator, comprising:

a non-resonant radio frequency output stage configured to output a substantially square electrosurgical waveform, the substantially square electrosurgical waveform having a plurality of cycles repeating at an operating frequency, each of the cycles including a positive half cycle and a negative half cycle;

a sensor configured to measure a feedback parameter; and

a controller coupled to the non-resonant radio frequency output stage, the controller configured to adjust a crest factor of the substantially square electrosurgical waveform at an adjustment frequency, which is the same as the operating frequency of the electrosurgical waveform, according to the measured feedback parameter.

2. The electrosurgical generator according to claim 1 , wherein the non-resonant radio frequency output stage further comprises:

a DC-DC buck converter configured to output a DC waveform, the DC-DC buck converter including at least one first switching element operated at a first duty cycle.

3. The electrosurgical generator according to claim 2 , wherein the non-resonant radio frequency output stage further comprises:

a DC-AC boost converter coupled to the DC-DC buck converter and including at least one second switching element operated at a second duty cycle, the DC-AC boost converter configured to convert the DC waveform to generate the substantially square electrosurgical waveform.

4. The electrosurgical generator according to claim 3 , wherein the controller is coupled to the DC-DC buck converter and the DC-AC boost converter, and the controller is further configured to adjust the first duty cycle and the second duty cycle to adjust a duty cycle of the substantially square electrosurgical waveform.

5. The electrosurgical generator according to claim 4 , wherein the controller is configured to adjust, as part of the first duty cycle, a peak voltage of each cycle of the substantially square electrosurgical waveform.

6. The electrosurgical generator according to claim 5 , wherein the controller is configured to adjust, as part of the second duty cycle, the duty cycle of the substantially square electrosurgical waveform.

7. The electrosurgical generator according to claim 6 , further comprising a user input for selecting a desired crest factor, and the controller is configured to adjust the first and second duty cycles in response to the desired crest factor.

8. The electrosurgical generator according to claim 1 , wherein the feedback parameter is tissue impedance.

9. The electrosurgical generator according to claim 1 , wherein the feedback parameter includes one or more of output power, output current, or output voltage.

10. An electrosurgical generator, comprising:

a DC-DC buck converter configured to output a DC waveform, the DC-DC buck converter including at least one first switching element operated at a first duty cycle;

a DC-AC boost converter coupled to the DC-DC buck converter and including at least one second switching element operated at a second duty cycle, the DC-AC boost converter configured to convert the DC waveform to generate a substantially square electrosurgical waveform, the substantially square electrosurgical waveform having a plurality of cycles repeating at an operating frequency, each of the cycles including a positive half cycle and a negative half cycle;

a sensor configured to measure a feedback parameter; and

a controller coupled to the DC-DC buck converter and the DC-AC boost converter and configured to adjust the first duty cycle and the second duty cycle to adjust a crest factor of the substantially square electrosurgical waveform at an adjustment frequency, which is the same as the operating frequency of the electrosurgical waveform, according to the measured feedback parameter.

11. The electrosurgical generator according to claim 10 , wherein the controller is configured to adjust, as part of the first duty cycle, a voltage of each cycle of the substantially square electrosurgical waveform.

12. The electrosurgical generator according to claim 11 , wherein the controller is configured to adjust, as part of the second duty cycle, a duty cycle of the substantially square electrosurgical waveform.

13. The electrosurgical generator according to claim 12 , further comprising a user input for selecting a desired crest factor, and the controller is configured to adjust the first and second duty cycles in response to the desired crest factor.

14. The electrosurgical generator according to claim 10 , wherein the measured feedback parameter is tissue impedance.

15. A method for controlling an electrosurgical generator, the method comprising:

operating at least one first switching element of a DC-DC buck converter at a first duty cycle to output a DC waveform;

operating at least one second switching element of a DC-AC boost converter coupled to the DC-DC buck converter at a second duty cycle to convert the DC waveform to generate a substantially square electrosurgical waveform, the substantially square electrosurgical waveform having a plurality of cycles repeating at an operating frequency, each of the cycles including a positive half cycle and a negative half cycle; and

adjusting the first duty cycle and the second duty cycle to operate the electrosurgical generator to adjust a crest factor of the substantially square electrosurgical waveform at an adjustment frequency, which is the same as the operating frequency of the electrosurgical waveform, according to a measured feedback parameter.

16. The method according to claim 15 , further comprising:

controlling the first duty cycle to adjust a peak voltage of each cycle of the substantially square electrosurgical waveform.

17. The method according to claim 15 , further comprising:

controlling the second duty cycle to adjust a duty cycle of the substantially square electrosurgical waveform.

18. The method according to claim 15 , further comprising:

selecting a desired crest factor; and

adjusting the first and second duty cycles in response to the desired crest factor.

19. The method according to claim 15 , further comprising:

measuring at least one of a tissue or energy property; and

adjusting the first and second duty cycles in response to the measured tissue or energy property.

20. The method according to claim 15 , wherein the measured feedback parameter is tissue impedance.