Conventional patches are usually handled by a dispatch console.
1) Console operator selects a patch and populates it with Ch. A and Ch. B. (To keep things simple, assume both channels are repeated via this console.)
2) Subscriber keys up on Ch. A (which means he is transmitting on the Ch. A input frequency). One or more receivers unsquelches; comparator selects one. The audio from that receiver is passed up to the console Rx line and triggers the console Rx VOX function.
3A) Console does what it ordinarily would do on receipt of an inbound call on Ch. A. Passes recovered audio to the console operators. Also triggers an EIA keying sequence on the Ch. A Tx line, and passes same recovered audio down this line, which causes the transmitter to key up and pass that audio on the Ch. A output frequency.
3B) In addition, since the patch is up, console also sends an EIA keying sequence down the Ch. B Tx line, coupled with the recovered audio from Ch. A. Subscribers (other than the initiating subscriber) on both Ch. A and Ch. B hear the audio from the initiating subscriber on Ch. A.
4) Same sequence for replies, on either Ch. A or Ch. B.
5) If console operator presses master Xmit key, he transmits only on whichever channel is "selected." However, if he presses "Patch Xmit" key, he will transmit simultaneously on all of the patch member channels.
6 Note that a patch is not the same as a "Multi-Select" (Motorola) or "Simul-Select" (Zetron). When console operator has set up a multi-select, he will transmit on each of the multi-select member channels whenever he presses the master Xmit key. However, inbound traffic on any of these channels will not be retransmitted on the other channels.