Publisher(版元)
慧通信技術工業株式会社(Kei Communication Technology Inc.)
Citation example
慧通信技術工業株式会社(Kei Communication Technology Inc.), "Japan’s First Off-Grid Clinic | Tanabe Clinic’s Power Independence and Continuity of Care"

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Case 10 / Medical Off-Grid / Tanabe Clinic

Japan’s First Off-Grid Clinic | Tanabe Clinic’s Power Independence and Continuity of Care

Commissioned in 2013, Tanabe Clinic in Sakuho, Nagano, pioneered off-grid clinical operations. Our custom PersonalEnergy BMS576 combines a 19.74 kW solar array, 57.6 kWh lithium iron phosphate battery storage and 12 kW + 11 kW AC outputs. Daytime operations are powered off-grid; the battery is supplemented from the utility grid at night. More than ten years of one-second measurements and 24/7 remote monitoring support ongoing operations.

Designed and installed by Kei Communication Technology / PersonalEnergy® BMS576 custom model / More than ten years of 24/7 monitoring / Published October 11, 2026

日本語版を読む

Facility

  • Tanabe Clinic, Sakuho, Nagano Prefecture
  • The complete electrical system of a newly built, single-story timber clinic
  • Off-grid electricity supply during clinical hours

Requirements

  • Reconfigure the existing split-phase, three-wire installation to supply the whole clinic
  • Avoid phase/load imbalance
  • Accommodate winter heating loads while sustaining daily clinical operations
  • Provide overnight battery replenishment and continuous monitoring for disaster readiness

Engineering decisions

  • Divide the single-phase three-wire system into three single-phase two-wire routes
  • Shift heating loads to a wood stove and underfloor heating while keeping electric heat-pump air conditioning (EHP) fully off-grid
  • Design for approximately 20 kW of required input power
  • Deploy a custom BMS576 with 57.6 kWh batteries, 19.74 kW PV and 12 kW + 11 kW AC outputs
  • Record one-second measurements with 24/7 remote monitoring

Case Answer

An off-grid clinic during operating hours, backed by more than a decade of 24/7 monitoring

Commissioned in 2013, Tanabe Clinic set out to establish what we describe as Japan’s first off-grid clinic. Because the equipment was costly and converting the electrical infrastructure of the entire building required substantial work, we declined the project three times. Dr. Tanabe’s determination ultimately led our company representative to design and install a custom PersonalEnergy BMS576 system.

The system incorporates 19.74 kW of solar generation, 57.6 kWh of olivine-type lithium iron phosphate battery storage, and AC outputs rated at 12 kW + 11 kW. During clinical hours, solar power and batteries supply the clinic off-grid. Our monitoring records show the battery state of charge (SOC) reaching 100% during the day and remaining fully charged for a period while supplying the clinic.

From 20:00 after clinical operations until 06:00 the next morning, utility power provides supplementary charging to maintain SOC in the 40–60% range. The operating strategy treats a possible disaster as something to prepare for every day, ensuring stored energy is available for the following day’s care.

For more than ten years since installation, our company has recorded power measurements at one-second intervals and provided remote monitoring 24 hours a day, 365 days a year. Independent power, continuously connected monitoring: long-term measurements and supervision underpin the system’s reliability.

Why we declined the project three times

Beginning around 2012, Dr. Tanabe approached us three times about converting the entire clinic to off-grid power. The system was commissioned in 2013. We declined each request.

The equipment was extremely costly, and reworking power distribution throughout the building required major electrical construction. This was fundamentally different from simply adding a battery: the clinic’s distribution circuits and everyday power supply configuration needed to be redesigned.

Dr. Tanabe’s determination ultimately persuaded us to undertake the work. Our company representative personally designed and installed the system. This is the background to Tanabe Clinic’s pioneering implementation.

PersonalEnergy® BMS576 custom model | Design and installation

We designed and installed the custom PersonalEnergy® BMS576 to serve the entire building, not merely as emergency standby equipment. The system was designed to operate as part of the clinic’s ordinary daily electricity supply.

SystemPersonalEnergy® BMS576 custom model
BatteryOlivine-type lithium iron phosphate battery, 57.6 kWh
AC output12 kW + 11 kW
Solar PV19.74 kW

Reconfiguring the electrical system after construction

Tanabe Clinic is a newly built, single-story timber facility in Sakuho, Nagano Prefecture. The task was to modify its already installed electrical infrastructure. We divided the original single-phase three-wire system into three single-phase two-wire supply routes, arranging the loads to avoid phase imbalance.

Redesigning heating loads for severe winters

Winter heating demand is a key consideration in Sakuho. Heating loads were shifted to a wood-burning stove and underfloor heating, while electric heat-pump air conditioning (EHP) was configured for fully off-grid operation. Reducing and reallocating demand was as important as providing battery capacity.

Approximately 20 kW input requirement

The three two-wire routes and revised heating loads required approximately 20 kW of input power. The custom BMS576, 19.74 kW solar installation, 57.6 kWh battery and 12 kW + 11 kW AC outputs were combined to enable off-grid operation during clinical hours.

Off-grid power, connected reassurance: our 24/7 remote monitoring

For more than ten years after installation, we have recorded power data at one-second intervals and monitored the installation remotely, 24 hours a day, 365 days a year. The same company that designed and installed the system continues to observe its daily operating condition. For another medical power application, see our ophthalmic hospital UPS case study.

The monitoring graph shows that the clinic operates on solar and stored energy during clinical hours. Battery SOC rises to 100% during the day and remains there for a period.

Between 20:00 and 06:00, after clinical hours, the system receives supplementary charging from utility power, targeting a 40–60% SOC range. This is an intentional daily practice: preparation for the possibility of a disaster on any given day.

Installation-era photographs

Other media coverage of Tanabe Clinic

Tanabe Clinic’s approach has also been featured in medical and energy publications.

Revision History

Initial
Published the engineering background, system configuration, more than ten years of operation and continuous remote monitoring of the Tanabe Clinic off-grid power system.

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