“…At high dosage (fluence) blue light is toxic to human cells through the production of reactive oxygen species ( Liebmann et al, 2010 ; Ramakrishnan et al, 2016 ; Wang et al, 2020 ), however, the toxic effect of blue light on human cells can be minimized by moderating dose; for example by LED pulsing ( Gillespie et al, 2017 ), or using blocking structures in biomedical devices to protect sensitive tissues. The use of antimicrobial blue light has been suggested for use in catheters, however, there have only been a few attempts at creating viable devices with limited testing of antimicrobial efficacy ( Klubben et al, 2016 ; Vollmerhausen et al, 2017 ). Additionally there has been limited demonstration of the effect of blue light on PM viability ( Ferrer-Espada et al, 2020 ; Funjan, 2021 ).…”