The word "puka" means "hole" in the Hawaiian language, which in the case of these necklaces refers to the naturally occurring hole that is found in pieces of shells. Heishe or heishi (pronounced "hee shee") are small disc- or tube-shaped fragments made of organic shells or ground and polished stones. The term originated with the Kewa Pueblo people (formerly Santo Domingo Pueblo) of New Mexico. These high-quality necklaces are hand-made for us in the Philippines using smooth Heishi puka shells. Packaged in a drawstring pouch for giving.