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The ErgoSof PenAgain is an easy grasp pen designed for use by individuals with upper extremity or fine motor disabilities or arthritis. The wishbone shape supports the index finger while the pen is supported by the thumb, eliminating the need to grasp or squeeze the pen. The natural weight of the hand is sufficient to apply ink to the page. The pen has a soft rubber coating, a retractable cap, and a pocket clip. The pen is refillable and two extra refills are included. DIMENSIONS: 4 inches long. COLOR: Silver, red, black, or blue with black ink.