The tsunami destroyed the diesel generators that provide power to drive the pumps that circulate the water coolant through the reactor that removes decay heat.
The efficiency of his design is further improved by using the moving piston to drive water through a special steam nozzle, which increases the effectiveness of the heat transfer between the inside and outside of the reactor.
There are many nontrivial ancillary challenges too, especially the secondary procedure of actually getting the energy out of the reactor into a useful form, i.e. heat to drive steam-turbines as with all other kinds of thermal power stations, to generate electricity.
Thermoelectric coupling uses heat from the decay of a radioactive fuel (as opposed to the full-scale nuclear fission which powers a reactor on Earth) as its energy source.