I have this little guy right here. I can't figure out why so many posters have so much anger in their opinions about a tool.
The one thing no one has mentioned, maybe because they are talking about home garage use, is the possibility of tearing up your master cylinder rubbers with all the pumping past the gunk ring.
In time, with normal use you only have a very short amount of travel used within the master cylinder bore. At either end of this usable travel a ring of gunk forms and will harden like plastic. When installing new lines or flushing your brake system the pumping of the lever or pedal forces the piston the full length of the master past this gunk ring. This can tear the rubber cup causing a loss of pressure or leak either immediately but normally a few days after the brake line swap or flush.
When your customer comes back a few days later complaining of a brake leak after YOU flushed the brakes, it's hard at that time to defend the shop. A smart service writer or service manager will caution the customer that because the brakes haven't been flushed in years, the possibility of a problem exists. This caution is done when the job is being written up.
Again, the smart service manager has a vacuum type brake bleeder for his crew to do brake flushes faster, cleaner, and with much less chance of blowing thru gunk rings. Flat rate tech's love them.
Those that have had poor results with bleeders like the one pictured may not have a compressor large enough to keep up with it. Even the Groits I have (pictured) tho maybe geared towards the home DIY person really eats up air and won't function right with a small compressor. I've tried it on a friends Campbell Hausfield cheapo compressor and it wouldn't pull any fluid.