A tire repair tool includes a body portion and a cartridge portion. The tool is used to inject an adhesive or glue and a patch assembly into a puncture in a tire, while the tire is still engaged with the wheel, in order to permanently patch a punctured inner tube of the tire. More particularly, a spring is used to eject a patch assembly and adhesive through an outlet tube of the tool and into the existing puncture of the outer tire. A patch is affixed over a puncture in the inner tube by the adhesive to permanently patch the inner tube without having to remove the tire from the wheel or rim.