Costing in excess of £64, I purchased this for my mother but she has declined to wear it. It is brand new, never worn and comes with instructions, and clip. In addition there is an SOS sticker and instructions how to complete and wear. As expected, everything is in perfect condition. The capsule is the size of a ten pence piece. It is airtight and waterproof and holds the vital strip with all your details on in case of accident or emergency.