Blue Heart in medical grade polymer with 20 inch matching organic cotton lanyard that is colorfast and pre-washed with plant-based ingredients. Our fully made in Canada product is functional and washable. BPA and latex free shapes are smooth and pleasing with a hard embossed "dot" surrounded by a rubbery heart. Abstract dots on back offer interesting imagery possibilities. Helps children-teens with sensory challenges discreetly and fashionably! Usually last 6-9 weeks. Please note that pendants will wear sooner with aggressive chewing.