This rudraksha wrist mala bracelet has a carved conch shell spacer with Compassionate Buddha Mantra "OM MANI PADME HUM". There are 20 rudraksha beads and one carved conch shell spacer bead. Each of the beads measures 8mm and hand strung in the US. This wrist mala is 7 inches size at its smallest. If you have a larger or smaller size wrist, please let me know and I will adjust it for you. Prayer Mala or beads are usually used by Buddhists around the world, especially in Tibet, Nepal and India and used for meditation, counting mantras, and prostration. Malas are worn on the left wrist while not in use.