Cutie PAT | Pacifier And Teether | Stage 2: For babies with teeth | Made with 100% medical grade silicone | Neutral Colors: Matches babies outfits | Designed in the USA | Made in China | Pacifier ROUND soft nipple | ONE piece design | LARGE round shield | LARGE breathing holes | Teether DESIGN feels good on baby\'s gums | NIPPLE pops in while being used as a teether | HANDLE makes it easy for baby to hold and place in mouth Our Cutie Pat comes in two stages Stage 1: recommended for babies without teeth Stage 2: recommended for babies with teeth DIRECTIONS Before first use, remove product from packaging. Wash with soap & water. Let air dry. Dishwasher safe, top rack only. Inspect before each use, especially once baby has teeth. Discard at immediate sign of damage. Nipple should be sucked on, as a means to soothe, not chewed. While using as a teether, pop nipple in before use. For safety it\'s recommended to replace after 4 weeks of use. Do not use without adult supervision. Do not tie around a child\'s neck. Colorful foods, dyes and/or other liquids may cause discoloration and staining. PATENT PENDING WARNING: To avoid a choking hazard, inspect before each use, especially once baby has teeth. Discard immediately at sign of damage. Nipple should be sucked on as a means to soothe, not chewed. While using as a teether, pop nipple in before use. For safety its recommended to replace after 4 weeks of use. Do not use without adult supervision. Do not tie around a childs neck.