The Cutie PAT Bulb 0-6M has a soft cherry-shaped nipple, and can be used by newborns up until 6 months. Once baby develops teeth, transition to a 0-24M or a Stage 2 Cutie PAT, for babies with or without teeth. The Cutie PAT (Pacifier And Teether) is a multifunctional 2-in-1 patented design. The nipple was created to soothe, while the teether was developed to aid in teething relief. The Cutie PAT is a safe, one-piece design made out of 100% medical-grade silicone. It has a large round shield for teething, and large holes for safe breathing. The teether handle provides comfort for sore gums, and also makes it easy for baby to hold and place in their mouth.