Includes food grade silicone teether wheel with center rattle and clip to attach to baby's clothes. The silicone is super soft. I find it fun and exciting. The wheel is also easy to grab and hold. It has no sharp edges or parts that can fall off. I also like that it has a strap with a clip on the end that can be attached to a child's clothing. It is important to pull back firmly on the tiny clip latch to open the clip. As usual, always supervise when the child is using it. It is made in China. The current price of $9.99 is on the high side to be competitively priced for this one. A few other teethers that I find excellent are this one and this one.
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