With a specially shaped, contoured grip, these Pilot pens are designed for use by those with limited strength and flexibility in their hands and fingers. The refillable design makes it easy to extend the useful life of your favorite pens. Specially shaped grip alleviates writing pressure. Dr. Grip pens are commended for "Ease-Of-Use" by the Arthritis Foundation. 1.0 mm medium point for strong lines. Refillable for continued use. Med-point pens with white barrels are great for use at work and school.