Pacemaker Implant Medical Alert Italian Charm Bracelet Jewelry Link High quality stainless steel standard size Italian charm Interchangeable and combinable with our entire line of Italian Charms as well as with all other major brands. This Italian Charm can be used to make a unique and fashionable gift. Add to your existing charm bracelet or start a new one today. Interlocking charms (AKA links) hook to other charms using an internal spring.