From SAS, the High Street-X Leather and Twill Sneakers feature: Leather and twill upper Medicare Approved: This style has met the standards set by Medicare. Please see your doctor for details and qualifications D-ring EZ Lace System that applies even tension across the top of the foot Knit fabric padded lining Removable anti-microbial CoolSTEP™ Footbed keeps the foot cool and dry Tripad® technology comfort system that provides shock-absorption and support Synthetic cushioned outsole Approx. 1.31" platform height Imported.