I wrote a pretty positive review of the Plantronics Calisto Pro series phone and headset a while back. I don't use the phone that often and recently I needed a headset but didn't have any in the house except the one that comes with the Calisto.
I remembered that this device connects to Skype via a USB cable. I connected the cable, downloaded the software and was talking in a few minutes with incredible clarity and mobility.
The one room for improvement is the need for a color screen which with today's technology wouldn't really kill battery life or the budget.
For the SMB or home that wants a solid phone and headset and also wants to be able to use it to connect to VoIP calls, this is a great solution.
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I love the Calisto Pro! I just recently wrote a blog about it myself: http://plantronicsheadset.wordpress.com/2008/12/02/a-shout-out-to-the-plantronics-calisto-pro/
I also hear the product now supports Macs.