You run the included script, it installs onto the USB thumb drive you select, and then you can copy ISO images to the USB filesystem.
Each ISO automatically becomes a GRUB boot menu option.
This thing is fantastic.
iVentoy is the same idea, over a local network. PXE is a very old and pervasive standard for booting a computer by discovering a special network file server.
You wouldn't need a thumb drive at all - the client is in the BIOS of the motherboard and network interface.
Original idea dates from a time when mass storage - more than a few megabytes - was too expensive to install in each workstation, and we ran everything, including OS system files, on the file server. And we liked it.