Named of its function, the Cutie PAT is a Pacifier and Teether in one. The Cutie PAT Slant was created for babies who prefer a Slant shaped nipple. This multifunctional pacifier is made with 100% medical grade silicone. It is safe, non-toxic, and free of BPA, PVC, phthalates, and latex. The Cutie PAT pacifier is designed in the USA and made in China. Cutie PAT\'s are unlike any other pacifier and/or teether on the market. The Cutie PAT was created with a dual purpose in mind: the pacifier side was created to soothe an infant/baby, and the teether portion was developed to aid with teething relief. The Cutie PAT Slant is for babies without teeth. Once your baby gets teeth, we recommend transitioning to the Cutie PAT Flat or the Cutie PAT Round Stage 2 which are for babies with teeth. U.S. Patent No. D887,014 PACIFIER - The pacifier features a soft round nipple. Cutie PAT\'s one piece design is seamless, from end to end. It\'s large round shield mimics the comfort of mother\'s breast to soothe baby. Larger breathing holes provide increased ventilation and the perfect place to attach your favorite Cutie Clip. TEETHER - Designed with a teething baby in mind, the handle ridges provide comfort to baby\'s gums. The teether handle makes it easy for baby to grip, hold, and learn to place in their mouthes. It also promotes the development of fine motor skills through the independence of self soothing. DIRECTIONS - Before FIRST use, sterilize pacifier in boiling water for 3 minutes and let air dry. Before EACH use, wash with warm water and mild soap, and complete a pull test inspection by pulling the nipple in all directions. Check for damages such as cracks, tears, and/or excessive wear. If damaged, discard immediately. Dishwasher safe, top rack only. Do not sterilize in microwave or electric sterilizers. Colorful foods, dyes and/or other liquids may cause discoloration and staining. WARNING: To avoid a choking hazard, inspect before each use, especially once baby has teeth.