I've been running keen home smart vents for a few years. Initial setup on the vents wasn't bad, but they have a few problems.
First, the vents go through batteries like crazy. This doesn't seem to be entirely based by distance from the repeater or bridge either. The worst one in my home was actually very close to the bridge. Sometimes the batteries leak and it's difficult to clean the battery compartment at the bottom due to the design. I found that I had to take the smart vent apart and then had to clean it with a cotton swab and even gently scrape them a few times to clean up the contacts.
Second, the integrations with thermostats original advertised are no longer valid. Granted Google pulled the original nest integration, but many companies have since fixed their integrations or added them. Samsung smartthings has nest support now for example. The intelligence of the system, even with temp sensors isn't as good as one would hope either.
One has to tweak settings on each vent for winter and summer configurations.
The vents would get things stuck in them sometimes, debris, cat litter in one room.
The height of the vent cover on top was tall enough that you could hit your toe on it and it would also cause problems for robot vacuums. It wasn't quite high enough to avoid it, so they would often try to go over it and get stuck. This happened with neato, samsung and roomba models. With roomba, the virtual wall was a good solution in one room where the couch was near the vent and the vacuum would wedge.
They did regulate temperature in some rooms well. It worked great on the first floor. The second floor had uneven heating and we were trying to help with some of the bedrooms. It just didn't have enough flow even with the vents to keep it regulated. We would have been better off to spend the money on a in duct fan/blower.
The vents did work with smartthings, but they lost a lot of functionality. We could open or close them. We could try to manually make rules to do that for each vent based on temp sensors. It wasn't clear if they would open under pressure with smartthings. it was much worse on batteries and not as adaptive during one cycle as their own hub. With smartthings, we'd replace batteries every few weeks. Some vents could go a few months with their own hub. A few rooms even longer.
The last straw though was the lack of new vents. During the last year, they've been sold out. We had two eventually fail due to battery issues and connectivity issues. I was able to replace one from a third party seller but the company effectively has had no stock for some time. It started to concern me they would close up because they just don't have vents. They don't have revenue with no vents.
Some of the other brands look more promising now like flair but the downside is the puck cost and the lack of integrations with other smart home products. In the end, we decided to go back to traditional vents because the hassle of maintaining them far outweighed the benefits.