Used, Paper Mate PhD ,Multi 3 in 1,Midnight Blue Pencil/pen/Stylus.  Easy Grip, flawless writing, and extremely durable. In excellent condition, looks new, see the insignia's condition, but please refer to the pictures. Cushioned grip, Very good for arthritis, small or big hands, Very hard to find. Well balanced and unmatched quality from Japan. Voted by Physical Therapy Association as an implement that is ergonomic for the hand and a recommended buy. I will also include a pen and eraser refill with the purchase. This will allow you to have two pens and a pencil for writing. This is a great buy!