The Pilot Dr. Grip Center of Gravity Retractable BallPoint Pen is so comfortable to use, it has received a commendation from the Arthritis Foundation for ease-of-use. Designed with perfect weight distribution for comfortable, balanced writing, this pen comes with turbo charged black ink with a medium point for ultra-smooth writing. This pen is also retractable and refillable, and a matching mechanical pencil is also available (sold separately). A wide double layer comfort grip and balanced gripping axis actually reduces required gripping effort, relieving stress and alleviating writing fatigue. There is no cap to lose, so you not only have a quality ballpoint pen, but a convenient one that you can confidently rely on for writing perfection. They are great for students, office workers or anyone who writes a lot. Pilot Dr. Grip Pens - The prescription for smooth writing!