Think where some thing like this doodad shines is where one wishes to run a large 220v appliance like maybe a powersaw or European washing machine/dryer or even ironer (hint), that requires excess of 2000 watts of power.
While not an expert, do know from my trials with the Pfaff ironer, that even a 3000w step-up/step-down converter cannot run an Euro appliance that calls for 2,05kw at 220v for long on a 120v/20amp circut, and even less on a 120v/15amp circut. Step-up transformers will pull twice the amount called for when going from 110 to 220 that means 2000 watts at 120v is almost 4000w at 120v, and household wiring simply cannot provide that sort of power long. If one is lucky the transformer will smoke and kill itself saving your appliance and wiring, or the fuses blow/breakers trip; worst case wiring will get hot enough to cause a fire. Mind you did run my Pfaff ironer off a step-up converter, but soon learned using the steam boiler,which added another 1000 watts was O-W-U-T, out; and not to run the unit more than an hour at a time,even then on medium power instead of full.
Have been reading around the Internet and many people seem to be interested and or have used Quick220. Most are people who have European appliances that require 220v such as coffee/expresso machines, and or power tools. Meanwhile most electricans deplore the thing and state not only does it violate code, is downright dangerous if used incorrectly. Then again others say if one knows what one is doing, and there simply isn't any other way to get 220v power, then the Quick220v is better than nothing. Just wouldn't leave it connected all the time is the common warning.
Am still worried about someone tripping over or somehow coming into contact with either of the two incoming plugs while one is using an appliance. Since one has to run extension cords all over the place to find two out of phase outlets, it could be an accident waiting to happen.
Still, do not think considering the court happy society of the United States a device totally unsafe would be freely marketed. One serious accident would leave the company on the hook for millions.
L.