Abstract: A tympanic membrane repair device is disclosed which comprises a tube having a distal end having a patch expansion mechanism such as a balloon or mechanical expansion mechanism, wherein in a retracted configuration the patch expansion mechanism is positioned in close proximity to the tube wall and wherein in an expanded configuration the patch expansion mechanism is configured to at least partially extend away from the tube wall. The repair device is capable of delivering a grafting patch to cover a perforation on the underside of the tympanic membrane. A method of using the device is also disclosed.