The Native American medicine wheel represents the great Sacred Hoop and the circle of life. The artist's rendering on this drum skin is quartered with the imprint of Helping Hands added in each quadrant. Classic Four-Direction colors. Hand-held Native American inspired hoop drums are perfect for drum circles, shamanic healing, meditation, and personal or ceremonial rituals. The buffalo rawhide is laced onto the frames for even pressure and to prevent tearing. The drum handles are wrapped in leather and made so you can slide your hand underneath so it fits like a glove! Every drum includes its own buckskin leather wrapped beater head in various colors. Diameter size: 18 inches. 2.75 inches deep. Add 2 inches to depth for handle. Hand made in the USA.