Named of its function, the Cutie PAT is a Pacifier and Teether in one. 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 US CPSC compliant and FDA approved, 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. Bulb For babies without teeth. A soft pliable nipple for babies who prefer a bulb shape.   U.S. Patent No. D887,014