The W in 91W after the size code indicates a speed rating. While these tires are proably Z rated (speeds in excess of 149MPH) in the tire size the W indicates that the tires are rated to a higher speed. W and X were added since there were no guidelines about how much over 149 Z rated tires were good for.
W indicates a top rated speed of 168MPH.
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The "91" indicates load capacity per tire! You'll get about 1350lbs per tire.
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To change an actual tire you need a tire machine to get it off the rim and the new one on. -If you mean the change the WHEEL and tire on a car, then you just need a jack and a tire wrench.
If you mean the Flat tire indicator button, it's next to the parking brake.
It shows the size of the tire. Converted to EU Standarts is 205/75 - 15
If you mean that you found one inside your tire and are wondering how it got there, it was probably dropped inside and forgotten by the last technician that had your tire dismounted. It was probably used to cut a plug to repair a puncture. If you mean that you want to know how to put one inside, then you have to dismount the tire from the rim (or at least deflate the tire and push a portion of the tire bead off of the rim) and insert the blade. Not sure why anyone would want to, but to each, his own. If you mean that there was a razor blade embedded in the rubber, either you ran over it, or someone else stuck it there to sabotage your tire, or it may have been embedded during the tire's manufacture. If you suspect the latter (manufacture defect) you should contact the tire dealer that sold it to you and demand replacement.
It's a speed rating, in this case meaning 'up to 130 mph'.