From Pilot the makers of Dr. Grip, comes the Dr. Grip 4+1. Dr. Grip 4+1 has it all; with 4 smooth ballpoint ink colors and a mechanical pencil and eraser, it is designed for getting complex jobs done with incredible precision. Featuring the same wide comfort grip that helps alleviate writing stress, and reduce fatigue; the Dr. Grip 4 +1 is the ultimate all-in-one writing instrument. Having received an Ease of Use Commendation from the Arthritis Foundation, the Dr. Grip pen series is great for those dealing with arthritis, carpal tunnel syndrome, and other hand problems.