Medical Alert Bangle Bracelet, HEART Patient Heart Charm, Alert charm,silver toned, original design Adjustable silver plated bangle with starter charms. About 65mm diameter Our original design includes two primary charms: Medical Alert, Heart Patient Sized to be adjustable to most average women's wrists (About 7-8" wrists) Ready to add your own personalized charms Our exclusive design made in U.S.A.