In a recent article, Dr. Susan Shulman wrote about the danger of such holders as result of two babies who choked on a bead, when the string tore.One child was B”H okay but the other was not.
In my eyes it reminds me of rosary beads, which Catholics use when they pray. There is a string of such beads with a cross at the end and they count the beads. With this gadget it has the pacifier at the end. Unfortunately, many have gotten used to these, some of them have real silver. I also think it looks rediculous besides of where the idea is coming from!