- Free monoclonal antibodies specific to hCG are conjugated to an enzyme that changes the colour of a dye- A second set of monoclonal antibodies specific to hCG are immobilised to the dye substrate- If hCG is present in urine, it will interact with both sets of monoclonal antibody (forming an antibody 'sandwich')- When both sets of antibody are bound to hCG, the enzyme is brought into physicial proximity with the dye, changing its colour- A third set of monoclonal antibodies will bind any unattached enzyme-linked antibodies, functioning as a control