Epilepsy Charm, Medical alert bangle accessorysilver Wire Bangle Bracelet Emergency Warning Adjustable expandable Bangle Bar Bracelet 65mm diameter Features Medical Alert charm (polished steel), Plus other charms "Epilepsy" charm in lightweight acrylic with hand colored charcoal detail Spiral and energy charms add extra style Your own charms can be added as well (just use a jump ring or clasp)