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Cutie PAT | Pacifier And Teether | Flat : For babies with or 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 FLAT soft nipple | ONE piece design | LARGE round shield | LARGE breathing holes | Teether DESIGN feels good on baby's gums | HANDLE makes it easy for baby to hold and place in mouth. Because all babies are different and have different preferences, the Cutie PAT comes in two styles: round and flat. ROUND is available in two stages: Round Stage 1: for babies without teeth Round Stage 2: for babies with teeth FLAT is for babies with or without 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. 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. 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.