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A monolithic current-mode CMOS DC-DC converter with integrated power switches and a novel on-chip current sensor for feedback control is presented in this paper. With the proposed accurate on-chip current sensor, the sensed inductor current, combined with the internal ramp signal, can be used for current-mode DC-DC converter feedback control. In addition, no external components and no extra I/O pins are needed for the current-mode controller. The DC-DC converter has been fabricated with a standard 0.6-μm CMOS process. The measured absolute error between the sensed signal and the inductor current is less than 4%. Experimental results show that this converter with on-chip current sensor can operate from 300 kHz to 1 MHz with supply voltage from 3 to 5.2 V, which is suitable for single-cell lithium-ion battery supply applications. The output ripple voltage is about 20 mV with a 10-μF off-chip capacitor and 4.7-μH off-chip inductor. The power efficiency is over 80% for load current from 50 to 450 mA.