A suction cleaning system adapted to clean a body-inserted tube, e.g., endotracheal tube, the system comprising: a suction catheter comprising: a cleaning portion located at or near a distal end of the suction catheter, the cleaning portion comprising an expandable cleaning member; a proximal controller located at a proximal end of the suction catheter, wherein the proximal controller comprises a first activation member adapted to control expansion of the cleaning member and a second activation member adapted to allow a suction force to be applied to the suction catheter by a suction source, wherein the proximal controller is adapted to enable operation in one of the following three operational states: i) a first operational state in which the first activation member is allowed to be activated by an operator and in which the second activation member is prevented from being activated by the operator, ii) a second operational state in which the second activation member is allowed to be activated by the operator and in which the first activation member is prevented from being activated by the operator, or iii) a third operational state in which neither the first activation member nor the second activation member is allowed to be activated by the operator; wherein, upon expansion of the cleaning member, at least a portion of the cleaning member is adapted to contact an interior surface of the body-inserted tube such that when the suction catheter is withdrawn from the body-inserted tube, biofilm or other debris collected on the interior surface is removed by the cleaning member; and a distal suction port disposed distal of the cleaning member along a length of the suction catheter, the distal suction port being in fluid communication with a lumen extending from the proximal controller to the distal suction port, wherein the distal suction port is adapted to facilitate suctioning distal to the cleaning member. a cleaning portion located at or near a distal end of the suction catheter, the cleaning portion comprising an expandable cleaning member; a proximal controller located at a proximal end of the suction catheter, wherein the proximal controller comprises a first activation member adapted to control expansion of the cleaning member and a second activation member adapted to allow a suction force to be applied to the suction catheter by a suction source, wherein the proximal controller is adapted to enable operation in one of the following three operational states: i) a first operational state in which the first activation member is allowed to be activated by an operator and in which the second activation member is prevented from being activated by the operator, ii) a second operational state in which the second activation member is allowed to be activated by the operator and in which the first activation member is prevented from being activated by the operator, or iii) a third operational state in which neither the first activation member nor the second activation member is allowed to be activated by the operator; i) a first operational state in which the first activation member is allowed to be activated by an operator and in which the second activation member is prevented from being activated by the operator, ii) a second operational state in which the second activation member is allowed to be activated by the operator and in which the first activation member is prevented from being activated by the operator, or iii) a third operational state in which neither the first activation member nor the second activation member is allowed to be activated by the operator; wherein, upon expansion of the cleaning member, at least a portion of the cleaning member is adapted to contact an interior surface of the body-inserted tube such that when the suction catheter is withdrawn from the body-inserted tube, biofilm or other debris collected on the interior surface is removed by the cleaning member; and a distal suction port disposed distal of the cleaning member along a length of the suction catheter, the distal suction port being in fluid communication with a lumen extending from the proximal controller to the distal suction port, wherein the distal suction port is adapted to facilitate suctioning distal to the cleaning member.