Pilot Dr. Grip FullBlack Retractable Ball Point Pen, Medium Point, Black Ink, Single Pen (36193) Wide comfort grip alleviates writing stress Commended for Ease-of-Use by the Arthritis Foundation Sleek black design accented with metal clip Single pen with black ink and a medium 1.0mm point Retractable and refillable with Dr. Grip Center of Gravity model # 77271 refill - sold separately