I am in the UK and have been using a Livescribe Pulse with I think was the model before the Echo, for the last 2 years.
I have used both the single subject pads and also printed my own paper & bound this into a pad.
I currently use the single suject pads. I try and keep good notes during meetings and mark any next actions with large dot in the lefthand margin, which I then transfer into my system. I only use the recordings if when looking back at my notes I am unsure of the meaning/context etc.
You can also covert the notes into typed text, which is useful if you need to publish minutes/actions quickly.
If I cab be of any further help, let me know.