In short, from my basic understanding, there are quite a few additional major challenges involved with fusion power generation. e.g. After creating net-positive fusion, the heat must be efficiently extracted without stopping the reaction. Also tritium must be continually extracted from the FLiBe (fluorine-lithium-beryllium) bath that stops and collects neutrons and extracts the heat.
Since I'm a total novice in all this, I don't know if these require incremental innovations or major advances. But from the video, the problems mentioned seem to be more tractable than achieving fusion ignition or Q>10.