A system and method for controlling thermal output of a medical device is disclosed. A thermal controller receives operational parameters for an impending use of a medical device and predicts a thermal output of the medical device from the operational parameters. The thermal controller compares the predicted thermal output to a desired limit on thermal output and, if the predicted thermal output exceeds the desired limit on thermal output, dynamically controls power consumption by the medical device to maintain an actual thermal output substantially at or below the desired limit on thermal output during use of the medical device.