The Pilot Dr. Grip Limited Fine Point Black Gel Ink Pen is so comfortable to use, it has received a commendation from the Arthritis Foundation for ease-of-use. Designed with a luxurious, metallic painted barrel and ergonomic cushion grip to alleviate writing fatigue, this pen uses a dynamic gel ink formula for smooth and smear-proof writing. This pen is retractable and refillable, and a matching mechanical pencil is also available (sold separately). There is no cap to lose, so you not only have a quality gel pen, but a convenient one that you can confidently rely on for writing perfection. Pilot Dr. Grip Pens – The prescription for smooth writing!