This is a mala made of small skull hand carved bone beads.  There are 108 small skull beads.  There is a "buddha" bead in the shape of another carved skull.  There is a small tassel to to finish the mala.  Each face of the bone beads is different, the aveage size is 5 mm by 5 mm.  The "buddha" bead measures 7 mm by 6 mm.