An electrosurgical generator has an output power control system that
causes the impedance of tissue to rise and fall in a cyclic pattern until
the tissue is desiccated. The advantage of the power control system is
that thermal spread and charring are reduced. In addition, the power
control system offers improved performance for electrosurgical vessel
sealing and tissue welding. The output power is applied cyclically by a
control system with tissue impedance feedback. The impedance of the
tissue follows the cyclic pattern of the output power several times,
depending on the state of the tissue, until the tissue becomes fully
desiccated. High power is applied to cause the tissue to reach a high
impedance, and then the power is reduced to allow the impedance to fall.
Thermal energy is allowed to dissipate during the low power cycle. The
control system is adaptive to tissue in the sense that output power is
modulated in response to the impedance of the tissue.