From James Avery, this bracelet features: The red enameled Star of Life symbol on this sterling silver medical bracelet combines function with style and may be personalized with an engraved message to alert paramedics of an allergy or medical condition. Sterling silver Enamel lobster claw closure Small approx. 6.5" long Medium approx. 7" long Large approx. 7.5" long Crafted in America using the world's finest materials.