Introduction
Use this guide to patch a tire. This process may be a little difficult the first time it is attempted.
Tools
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            Unscrew the axle nut with a 19 mm wrench. 
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            Unscrew the the axle bolt with a 19 mm socket wrench. 
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            Remove the wheel from the wheelchair. 
 
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            Insert the 19 mm socket wrench between the rubber tire and the metal frame. 
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            Carefully slide the 19 mm socket wrench all the way around the tire. Bend the wrench down to pop the tire out of the bead of the rim. 
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            Reach inside the tire and remove the tube from the metal frame. 
 
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            Take the inner tube from inside the tire and submerge the tube in water. 
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            Squeeze the tube gently looking for bubbles from the tube in the water. 
 
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            Dry off the tube. 
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            Pull the tube out of the water and mark the location of the hole on the tube so that it can be found again. 
 
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            Use sand paper to texturize the tire tube. 
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            Wipe off any excess rubber that was sanded off the tube. 
 
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            Apply a thin layer of rubber cement over the area that was marked. 
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            Let the rubber cement set for 5 minutes. 
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            Peel the patch off of the plastic backing. 
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            Place patch over the area with the rubber cement and firmly press down until the patch is securely attached. 
 
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            Insert the axle bolt into the center of the rear wheel. 
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            Insert the wheel with the axle bolt into the lower back of the frame by screwing in the bolt. 
 
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            Secure the nut on the opposite side of the axle bolt and wheel. Tighten with 1/2 in or 19 mm wrench. 
 
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