That was a little bit vague. How does the heat actually get out of this thing and into the water? If the plasma is confined in a magnetic field, not in contact with the shell, and the shell is super-cooled to 4K, I'm a little lost on how it would work in practice.
I think only the shells of the superconducting coils are cooled to those temperatures. The rest of the system, including the containment walls, are water-cooled.
In a real system you would also have neutron radiation carrying away energy that could be captured with additional layers of water.
i have absolutely no authority to speculate, but i would guess you'd vent plasma to a heat exchanger by diverting only part of the stream with a controlled EM field, either periodically or continuously. You'd have to do it anyway to remove the helium and inject some fresh tritium and deuterium, right?