ryan & rose cutie pat pacifier teether (stage 1, black) ryan & rose cutie pat | pacifier and teether | stage 1: for babies without teeth | made with 100% medical grade silicone safe | non-toxic | no bpa, pvc, phthalates or latex | 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 and hygiene, 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 and hygiene, it’s recommended to replace after 4 weeks of use. do not use without adult supervision. do not tie around a child’s neck.