I've had one running for a couple of weeks on my 20gallon bowfront. After a few days, it seems to have stablilized and is doing well, my pH hovers at around 7. I had a problem with the reactor in the beginning, but after re-positioning the reactor closer to the bottom of the tank, the bubbles do become noticably smaler as they go through the reactor... perhaps it was just a coincidence?
Regardless, from the results I've seen, it is an effective system if you are not DIY inclined. As the others have said, there's no need to buy the refill packs, just put in your own yeast/sugar mixture.
-Richer