Document:

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                                  Exhibit 10.7
                                  ------------

                          AMENDMENT No. 1 to Agreement
                          ----------------------------

     FIRST AMENDMENT (this "Amendment") dated as of February 5, 2002 to that
certain Agreement (the "Original Agreement") between Ethicon Endo-Surgery, Inc.
("EES") and Fischer Imaging Corporation ("FIMG") dated October 10, 1997, as
modified by that certain Addendum to the Agreement ("Addendum") dated January
28, 1998 (the Original Agreement as amended by the Addendum, the "Agreement").

     WHEREAS, FIMG has developed a breast imaging system for full-field digital
upright mammography (rather than biopsy) known as a SenoScan(R) (the "SenoScan
System"); and

     WHEREAS, EES is desirous of waiving any right it may have to distribute,
market or sell the SenoScan System as provided below without waiving any of its
other rights under the Agreement.

     NOW, THEREFORE, for due and valid consideration, the sufficiency of
which is acknowledged by both parties, EES and FIMG hereby agree as follows:

ARTICLE 1  DEFINITION; EFFECTIVE DATE
-------------------------------------

1.1  All capitalized terms used and not defined in this Amendment shall have
 the meaning as set out in the Agreement.

1.2  The "Effective Date" of this Amendment is January 23, 2002.

ARTICLE 2  AMENDMENTS
---------------------

2.1  Notwithstanding Section 1 of the Original Agreement and Sections 2 and 12
of the Addendum, EES hereby irrevocably relinquishes any and all rights to
market, sell or distribute the SenoScan System during the term of the Agreement;
provided, however, this Section 2.1 shall not apply to any other system
developed by Fischer during the term of the Agreement or to a hybrid of the
SenoScan System and another system to which Fischer gives the SenoScan brand
name; and provided, further, this Section 2.1 shall not affect any other rights
which EES may have under the Agreement including without limitation with respect
to Tables and or imaging systems on which the EES Mammotome system may be
installed.

2.2  Section 8.1 of the Addendum to the Agreement is hereby deleted in its
entirety and the following Section 8 is substituted in its place:

              8.1  FIMG shall pay EES a commission in the amount of $2,500
     per Table for all Table sales resulting from leads and sales assistance
     provided by EES representatives. Such commission shall be payable by
     FIMG on a quarterly basis, based on Tables shipped by FIMG to its
     customers during that quarter. EES shall at its sole discretion
     distribute such payments made by FIMG including but not limited to
     making such payments in the form of sales commissions, field level
     marketing programs, or similar activities. For purposes of this Section
     8.1, Quarters shall mean calendar quarters which are deemed to end on
     March 31, June 30, September 30 and December 31, respectively.

ARTICLE 3  MISCELLANEOUS
------------------------

3.1  Except as expressly modified by this Amendment, the terms of the Agreement
shall continue in full force and effect without modification.

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3.2  This Amendment shall be deemed to have been made in the State of Ohio and
its form, execution, validity, construction and effect shall be determined in
accordance with the laws of the State of Ohio, without giving effect to the
principles of conflicts of law thereof.

3.3  All section headings contained in this Amendment are for convenience of
reference only and shall not affect the meaning or interpretation of this
Amendment.

3.4  This Amendment may be executed in multiple counterparts, each of which
shall be an original as against any party whose signature appears thereon but
all of which together shall constitute one and the same instrument. A facsimile
transmission of the signed Amendment shall be legal and binding on all parties.

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         IN WITNESS WHEREOF, each of the parties, through their authorized
officers, has caused this Amendment to be duly executed in the name of and on
its behalf, as of the Effective Date of this Amendment.

                                 FISCHER IMAGING CORPORATION

                              By: /s/ Louis Rivelli
                                 ---------------------------------------
                                 Name: LOUIS RIVELLI
                                 Title: PRESIDENT, CEO

                                 ETHICON ENDO-SURGERY, INC.

                              By: /s/ Richard Dakerd
                                 ---------------------------------------
                                 Name: RICHARD DAKERD
                                 Title: VP Worldwide Business Development

                                       3<PAGE>

                        Amendment to Employment Agreement

This Amendment is entered into as of January 2, 2002 by and between ICT Group,
Inc, a Pennsylvania corporation (hereinafter called "Company") and Vincent
Paccapaniccia an individual (hereinafter called "Employee").

Whereas, Company and Employee have entered into that certain employment
agreement dated August 24, 1998 (hereinafter the "Employment Agreement"); and

Whereas, in consideration of the continued employment of Employee, and deeming
it to be in Company's best interest, Company and Employee now wish to amend a
certain provision of the Employment Agreement.

Now, therefore in consideration of the covenants and promise contained herein,
and intending to be legally bound hereby, Company and Employee hereby agree as
follows:

1.       Section 6 (a), Post-Termination Payments: Section 6 (a) of the
         Employment Agreement is hereby amended by deleting Section 6 (a) in its
         entirety and replacing it with a new Section 6 (a) to read as follows:
         "(a) If Employee is terminated by Company pursuant to Paragraph 10
         hereof, Company shall pay to Employee a monthly severance payment in an
         amount equal to Employee's monthly salary at the time of termination
         for twelve (12) months."
2.       Effective Date: The change to the Employment Agreement set forth in
         this Amendment shall become effective on January 2, 2002.
3.       No Other Changes: Except as set forth herein, the Employment Agreement
         shall remain unchanged and in full force and effect.

In Witness Whereof, the parties hereto have executed this Amendment as of the
date and year first above written.

ICT Group, Inc.                             EMPLOYEE

By:                                         Signature
    ----------------------------                      --------------------------

Name:                                       Name:
     ---------------------------                 ------------------------------
Title: Chief Executive Officer<PAGE>

                        Amendment to Employment Agreement

This Amendment is entered into as of January 2, 2002 by and between ICT Group,
Inc, a Pennsylvania corporation (hereinafter called "Company") and Vincent M.
Dadamo an individual (hereinafter called "Employee").

Whereas, Company and Employee have entered into that certain employment
agreement dated May 25, 1999 (hereinafter the "Employment Agreement"); and

Whereas, in consideration of the continued employment of Employee, and deeming
it to be in Company's best interest, Company and Employee now wish to amend a
certain provision of the Employment Agreement.

Now, therefore in consideration of the covenants and promise contained herein,
and intending to be legally bound hereby, Company and Employee hereby agree as
follows:

     1. Section 6 (a), Post-Termination Payments: Section 6 (a) of the
        Employment Agreement is hereby amended by deleting Section 6 (a) in its
        entirety and replacing it with a new Section 6 (a) to read as follows:
        "(a) If Employee is terminated by Company pursuant to Paragraph 10
        hereof, Company shall pay to Employee a monthly severance payment in an
        amount equal to Employee's monthly salary at the time of termination for
        twelve (12) months."
     2. Effective Date: The change to the Employment Agreement set forth in this
        Amendment shall become effective on January 2, 2002.
     3. No Other Changes: Except as set forth herein, the Employment Agreement
        shall remain unchanged and in full force and effect.

In Witness Whereof, the parties hereto have executed this Amendment as of the
date and year first above written.

ICT Group, Inc.                             EMPLOYEE

By:                                         Signature
    ----------------------------                      --------------------------

Name:                                       Name:
     ---------------------------                 ------------------------------
Title: Chief Executive Officer<PAGE>

                        Amendment to Employment Agreement

This Amendment is entered into as of January 2, 2002 by and between ICT Group,
Inc, a Pennsylvania corporation (hereinafter called "Company") and Dean J.
Kilpatrick an individual (hereinafter called "Employee").

Whereas, Company and Employee have entered into that certain employment
agreement dated May 1, 1995 (hereinafter the "Employment Agreement"); and

Whereas, in consideration of the continued employment of Employee, and deeming
it to be in Company's best interest, Company and Employee now wish to amend a
certain provision of the Employment Agreement.

Now, therefore in consideration of the covenants and promise contained herein,
and intending to be legally bound hereby, Company and Employee hereby agree as
follows:

     1. Section 6 (a), Post-Termination Payments: Section 6 (a) of the
        Employment Agreement is hereby amended by deleting Section 6 (a) in its
        entirety and replacing it with a new Section 6 (a) to read as follows:
        "(a) If Employee is terminated by Company pursuant to Paragraph 10
        hereof, Company shall pay to Employee a monthly severance payment in an
        amount equal to Employee's monthly salary at the time of termination for
        twelve (12) months."
     2. Effective Date: The change to the Employment Agreement set forth in this
        Amendment shall become effective on January 2, 2002.
     3. No Other Changes: Except as set forth herein, the Employment Agreement
        shall remain unchanged and in full force and effect.

In Witness Whereof, the parties hereto have executed this Amendment as of the
date and year first above written.

ICT Group, Inc.                             EMPLOYEE

By:                                         Signature
    ----------------------------                      --------------------------

Name:                                       Name:
     ---------------------------                 ------------------------------
Title: Chief Executive Officer

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