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The Lite-Touch Pen requires almost no pressure to write. The built-up, textured surface is easier to hold than standard size pens. An indentation on the pen helps relieve sore, painful thumbs and aids in gripping. This lightweight, hollow pen is ideal for persons with arthritis. The circumference measures 2-1/4" (5.7cm). Black ink. Replace ink cartridge with Parker #30316 refill.