Do not tie pacifier around child's neck as it presents a strangulation danger. To prevent the possibility of choking, always test strength by pulling on bulb portion of nipple. Regularly inspect pacifier for signs of excessive wear and replace if unit becomes sticky, enlarged or cracked. Always use this product with adult supervision. Packaging Materials: Please discard all packaging materials immediately upon opening as they may present a suffocating and/or strangulation hazard to infants and small children. These packaging materials may include small plastic buttons, plastic bags, ribbons, safety pins, tape, plastic tags and other materials used in packaging.