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THS4051: Push Pull amplifier to generate high voltage

Part Number: THS4051

Going off the electrosurgery training here I am a little lost on how the RF Amplifier portion works (I've looked up regular push pull amplifiers that are only transistor based that don't include op-amps) and I've even looked at AN-272 as well.  In addition, I can't seem to find any equations that would show how the final gain is calculated for this particular amplifier. (I started with a google search of op amp with transistor voltage booster which lead me to that AN-272 document)