Closed suction cleaning devices, systems and methods

An endotracheal tube and airway cleaning system, comprising:

• an endotracheal tube coupling adapter comprising a ventilator port, a suction port and a distal port, said distal port configured to directly or indirectly couple to an endotracheal tube;
• and
• a closed suction system module comprising a coupling member, a flexible enclosure and a suction catheter,
• wherein the coupling member of the closed suction system module is configured to couple to the suction port of the endotracheal tube coupling adapter,
• wherein the flexible enclosure extends proximally to the coupling member of the closed suction system and is configured, during use, to prevent exposure of the suction catheter to an outside environment;
• a cleaning portion located at or near a distal end of the suction catheter;
• wherein the cleaning portion comprises at least one cleaning member, said at least one cleaning member configured to be radially expanded;
• and
• a control unit located along a proximal end of the suction catheter,
• wherein the control unit is configured to selectively expand and retract the at least one cleaning member and control suction through the suction catheter, and
• wherein, upon expansion of the expandable cleaning member, at least a portion of the expandable cleaning member is configured to contact an interior surface of an endotracheal tube such that when the suction catheter is withdrawn from the endotracheal tube, biofilm collected on the interior surface is removed by the expandable cleaning member.