Patent Publication Number: US-2021187172-A1

Title: Systems and methods for managing reduced pressure at a plurality of wound sites

Description:
RELATED APPLICATION 
     This application is a Divisional of U.S. patent application Ser. No. 15/156,997, filed May 17, 2016, which is a Divisional of U.S. patent application Ser. No. 13/292,926, filed Nov. 9, 2011, now U.S. Pat. No. 9,364,591, which claims the benefit, under 35 USC § 119(e), of the filing of U.S. Provisional Patent Application Ser. No. 61/414,718, entitled “Systems and Methods for Managing Reduced Pressure at a Plurality of Wound Sites,” filed Nov. 17, 2010, which are incorporated herein by reference for all purposes. 
    
    
     FIELD 
     The present disclosure relates generally to medical treatment systems and, more particularly, but not by way of limitation, to systems, devices, and methods for managing reduced pressure at a plurality of wound sites. 
     BACKGROUND 
     Clinical studies and practice have shown that providing a reduced pressure in proximity to a tissue site augments and accelerates the growth of new tissue at the tissue site. The applications of this phenomenon are numerous, but application of reduced pressure has been particularly successful in treating wounds. This treatment (frequently referred to in the medical community as “negative pressure wound therapy,” “reduced pressure therapy,” or “vacuum therapy”) provides a number of benefits, which may include faster healing and increased formulation of granulation tissue. Typically, when applied to open wounds, reduced pressure is applied to tissue through a porous pad or other manifold device. The porous pad contains cells or pores that are capable of distributing reduced pressure to the tissue and channeling fluids that are drawn from the tissue. At times, a patient may have a large wound requiring treatment at numerous sites or has a plurality of tissue sites requiring treatment. 
     SUMMARY 
     According to some illustrative embodiments, systems and methods are presented for providing reduced pressure to and monitoring pressure at a plurality of tissue sites using a plurality of pressure management devices. The pressure management devices are associated with a plurality of sensing conduits that fluidly couple the pressure management devices and the plurality of tissue sites. 
     According to an illustrative embodiment, a system for managing reduced pressure at multiple tissue sites undergoing reduced pressure treatment on a patient includes a reduced-pressure source for providing reduced pressure, a plurality of reduced-pressure delivery conduits fluidly coupled to the reduced-pressure source, a plurality of reduced-pressure dressings fluidly coupled to the plurality of reduced-pressure delivery conduits in a one-to-one fashion, a plurality of pressure management devices, and a plurality of a sensing conduits fluidly coupled to the plurality of pressure management devices in a one-to-one fashion. Each reduced-pressure dressing has a sensing conduit of the plurality of sensing conduits and a reduced-pressure delivery conduit of the plurality of reduced-pressure delivery conduits associated with the reduced-pressure dressing. Each pressure management device of the plurality of pressure management devices may include a controller, a power unit electrically coupled to the controller for providing power to the controller, a force transducer associated with a sensing conduit of the plurality of sensing conduits and electrically coupled to the controller for determining if a reduced-pressure threshold exists at a tissue site associated with the sensing conduit, and an indicator coupled to the controller for indicating when insufficient pressure exists in an associated sensing conduit. 
     According to another illustrative embodiment, a method for managing reduced pressure at a plurality of tissue sites undergoing reduced pressure treatment on a patient includes providing a reduced-pressure source, fluidly coupling a plurality of reduced-pressure delivery conduits to the reduced-pressure source, disposing a plurality of reduced-pressure dressings proximate to the plurality of tissue sites, fluidly coupling the plurality of reduced-pressure dressings to the plurality of reduced-pressure delivery conduits in a one-to-one fashion, providing a plurality of pressure management devices, and fluidly coupling a plurality of a sensing conduits to the plurality of pressure management devices in a one-to-one fashion. Each reduced-pressure dressing has a sensing conduit of the plurality of sensing conduits and a reduced-pressure delivery conduit of the plurality of reduced-pressure delivery conduits associated with the reduced-pressure dressing. Each pressure management device of the plurality of pressure management devices may include a power unit electrically coupled to the controller for providing power to the controller, a force transducer associated with a sensing conduit of the plurality of sensing conduits and electrically coupled to the controller for determining if a reduced-pressure threshold exists at a tissue site associated with the sensing conduit, and an indicator coupled to the controller for indicating when insufficient pressure exists in the associated sensing conduit. 
     According to another illustrative embodiment, a method of manufacturing a system for managing reduced pressure at multiple tissue sites undergoing reduced pressure treatment on a patient includes providing a reduced-pressure source for providing reduced pressure, providing a plurality of reduced-pressure delivery conduits, fluidly coupling the plurality of reduced-pressure delivery conduits to the reduced-pressure source, providing a plurality of reduced-pressure dressings, providing plurality of pressure management devices, providing a plurality of a sensing conduits, and fluidly coupling the plurality of pressure management devices in a one-to-one fashion to the plurality of sensing conduits. Each reduced-pressure dressing has a sensing conduit of the plurality of sensing conduits and a reduced-pressure delivery conduit of the plurality of reduced-pressure delivery conduits associated with the reduced-pressure dressing. Each pressure management device of the plurality of pressure management devices may include a power unit electrically coupled to the controller for providing power to the controller, a force transducer associated with a sensing conduit of the plurality of sensing conduits and electrically coupled to the controller for determining if a reduced-pressure threshold exists at a tissue site associated with the sensing conduit, and an indicator coupled to the controller for indicating when insufficient pressure exists in an associated sensing conduit. 
     According to another illustrative embodiment, a system for managing reduced pressure at multiple tissue sites undergoing reduced pressure treatment on a patient includes a reduced-pressure source for providing reduced pressure, a pressure management module, a first conduit fluidly coupled between the reduced-pressure source and the pressure management module, a plurality of reduced-pressure delivery conduits fluidly coupled between the pressure management module and a plurality of reduced-pressure dressings. The plurality of reduced-pressure dressings are coupled to the plurality of reduced-pressure delivery conduits in a one-to-one fashion. The system further includes a plurality of a sensing conduits fluidly coupled to the pressure management module. Each reduced-pressure dressing has a sensing conduit of the plurality of sensing conduits and a reduced-pressure delivery conduit of the plurality of reduced-pressure delivery conduits associated with the reduced-pressure dressing. The pressure management module comprises a plurality of pressure management devices. Each pressure management device of the plurality of pressure management devices may include a power unit electrically coupled to the controller for providing power to the controller, a force transducer associated with a sensing conduit of the plurality of sensing conduits and electrically coupled to the controller for determining if a reduced-pressure threshold exists at a tissue site associated with the sensing conduit, and an indicator coupled to the controller for indicating when insufficient pressure exists in an associated sensing conduit. 
     According to another illustrative embodiment, a system for managing reduced pressure at multiple tissue sites undergoing reduced pressure treatment on a patient includes a reduced-pressure source for providing reduced pressure and a first plurality of reduced-pressure delivery conduits fluidly coupled to the reduced-pressure source. Each reduced-pressure delivery conduit of the first plurality of reduced-pressure delivery conduits has a first end and a second end. The second end of each of the first plurality of reduced-pressure delivery conduits has a first pressure-management connector coupled thereto. The system further includes a second plurality of reduced-pressure delivery conduits, each having a first end and a second end. The first end of the second plurality of reduced-pressure delivery conduits has a second pressure-management connector. The system further includes a plurality of reduced-pressure dressings fluidly coupled to the second plurality of reduced-pressure delivery conduits in a one-to-one fashion. The first pressure management connector of the plurality of reduced-pressure conduits is coupled to the second pressure-management connector of the second plurality of reduced-pressure in a one-to-one fashion. The first pressure management connector and second management connector couple to form a pressure management device, whereby the first pressure management connectors and the second pressure management connectors form a plurality of pressure management devices. Each reduced-pressure dressing has one of the second reduced-pressure delivery conduits associated with the reduced-pressure dressing. Each pressure management device of the plurality of pressure management devices includes a controller, a power unit electrically coupled to the controller for providing power to the controller, a force transducer associated with a sensing conduit of the first plurality of reduced-pressure conduits and electrically coupled to the controller for determining if a reduced-pressure threshold exists at a tissue site associated with the sensing conduit, and an indicator coupled to the controller for indicating when insufficient pressure exists at the associated sensing conduit. 
     Other features and advantages of the illustrative embodiments will become apparent with reference to the drawings and detailed description that follow. 
    
    
     
       BRIEF DESCRIPTION OF THE DRAWINGS 
         FIG. 1  is a schematic diagram, with a portion shown in cross section, of an illustrative, non-limiting embodiment of a system for managing reduced pressure at multiple tissue sites undergoing reduced pressure treatment on a patient; 
         FIG. 2  is a schematic diagram of a portion of an illustrative embodiment of a system for managing reduced pressure at multiple tissue sites undergoing reduced pressure treatment on a patient showing an illustrative, non-limiting configuration of a pressure management device; 
         FIG. 3  is a schematic, elevation view of an illustrative embodiment of an integral module formed from a plurality of pressure management devices; 
         FIG. 4  is a schematic, elevation view of an illustrative embodiment of an integral module that involves a conduit delivering reduced pressure that is split to provide reduced pressure to a plurality of reduced-pressure delivery conduits; and 
         FIG. 5  is a schematic, perspective view, with a portion shown as a diagram and a portion as a cross section, of another illustrative embodiment of a portion of a system for managing reduced pressure at multiple tissue sites undergoing reduced pressure treatment on a patient. 
     
    
    
     DETAILED DESCRIPTION OF ILLUSTRATIVE EMBODIMENTS 
     In the following detailed description of the illustrative, non-limiting embodiments, reference is made to the accompanying drawings that form a part hereof. These embodiments are described in sufficient detail to enable those skilled in the art to practice the invention, and it is understood that other embodiments may be utilized and that logical structural, mechanical, electrical, and chemical changes may be made without departing from the spirit or scope of the invention. To avoid detail not necessary to enable those skilled in the art to practice the embodiments described herein, the description may omit certain information known to those skilled in the art. The following detailed description is, therefore, not to be taken in a limiting sense, and the scope of the illustrative embodiments are defined only by the appended claims. 
     Reduced pressure provided to tissue sites encourages healing at those tissue sites. To accommodate multiple tissue sites, e.g., multiple wounds on a patient, multiple conduits may be used to deliver reduced pressure. A single reduced pressure source may be used with the multiple conduits branched off one conduit. Pressure monitoring is currently located in existing reduced-pressure sources and only one conduit communicates pressure to the reduced-pressure source. If only one conduit, which is associated with one tissue site, is monitored, as is the case when monitoring is done at the reduced-pressure source alone, pressure at other tissue sites may be unmonitored. This means that the pressure at the different tissue sites may vary greatly and yet go unnoticed. This, in turn, may cause a detrimental result in some situations. For example, if a graft does not receive reduced pressure for two hours, the graft may not take. With the current system, each tissue site of the plurality of tissue sites is monitored, and issues with reduced pressure delivery may be identified and addressed. An illustrative embodiment of a system  100  is presented that includes, among other things, pressure monitoring at multiple tissue sites. 
     Referring now to the drawings and initially to  FIG. 1 , the system  100  for managing reduced pressure at a plurality of tissue sites  102  that are undergoing reduced pressure treatment on a patient  104  is presented. A plurality of reduced-pressure dressings  106  are used with the plurality of tissue sites  102 . Typically, one of the plurality of reduced-pressure dressings  106  is associated with one of the plurality of tissue sites  102 . The tissue sites  102  may comprise a single extended tissue site or wound or may be discrete wound sites or tissue sites. Each of the tissue sites  102  may be the bodily tissue of any human, animal, or other organism, including bone tissue, adipose tissue, muscle tissue, dermal tissue, vascular tissue, connective tissue, cartilage, tendons, ligaments, or any other tissue. Unless otherwise indicated, as used throughout this document, “or” does not require mutual exclusivity. Treatment of the tissue sites  102  may include removal of fluids, e.g., exudate or ascites. 
     The plurality of reduced-pressure dressings  106  in the illustrative embodiment of  FIG. 1  is shown with a first reduced-pressure dressing  108  and a second reduced-pressure dressing  110 . The plurality of reduced-pressure dressings  106  may include any structure suitable for providing reduced pressure to a tissue site and removing fluids. For example, in one illustrative embodiment, the first reduced-pressure dressing  108  includes a manifold  112  that is disposed proximate to one of the tissue sites  102  with which the manifold  112  is associated. The manifold  112  is covered with a sealing member  114 , which may include an attachment device  116 , that creates a fluid seal. A fluid seal is a seal adequate to maintain reduced pressure at a desired tissue site given the particular reduced-pressure source or subsystem involved. The sealing member  114 , which may include the attachment device  116 , creates a sealed space  118  in which the manifold  112  may reside. A reduced-pressure interface  120  may be placed through an aperture (not shown) and the sealing member  114  to provide reduced pressure into the sealed space  118  and in particular to the manifold  112 . For example, the reduced pressure interface  120  may be a T.R.A.C.® Pad or Sensa T.R.A.C.® Pad available from KCI of San Antonio, Tex. The reduced-pressure interface  120  delivers the reduced pressure to the sealed space  118 . The second reduced-pressure dressing  110  is analogous to the first reduced-pressure dressing  108 . 
     With respect to the manifold  112 , a manifold is generally a substance or structure that is provided to assist in applying reduced pressure to, delivering fluids to, or removing fluids from a tissue site, e.g., tissue site  102 . The manifold  112  typically includes a plurality of flow channels or pathways that distribute fluids provided to and removed from the tissue site  102  around the manifold  112 . In one illustrative embodiment, the flow channels or pathways are interconnected to improve distribution of fluids provided or removed from the tissue site  102 . The manifold  112  comprises one or more of the following: a biocompatible material that is capable of being placed in contact with the tissue site  102  and distributing reduced pressure to the tissue site  102 ; devices that have structural elements arranged to form flow channels, such as, for example, cellular foam, open-cell foam, porous tissue collections, liquids, gels, and foams that include, or cure to include, flow channels; material that may be porous and may be made from foam, gauze, felted mat, or any other material suited to a particular biological application; foam with interconnected cells; polyurethane; open-cell, reticulated foam such as GranuFoam® material manufactured by Kinetic Concepts, Incorporated of San Antonio, Tex.; bioresorbable material; or scaffold material. In some situations, the manifold  112  may also be used to distribute fluids such as medications, antibacterials, growth factors, and various solutions to the tissue site  102 . Other layers may be included in or on the manifold  112 , such as absorptive materials, wicking materials, hydrophobic materials, and hydrophilic materials. 
     In one illustrative embodiment, the manifold  112  may be constructed from bioresorbable materials that do not have to be removed from a patient&#39;s body following use of the reduced-pressure dressing  108 ,  110 . Suitable bioresorbable materials may include, without limitation, a polymeric blend of polylactic acid (PLA) and polyglycolic acid (PGA). The polymeric blend may also include without limitation polycarbonates, polyfumarates, and capralactones. The manifold  112  may further serve as a scaffold for new cell-growth, or a scaffold material may be used in conjunction with the manifold  112  to promote cell-growth. A scaffold is a substance or structure used to enhance or promote the growth of cells or formation of tissue, such as a three-dimensional porous structure that provides a template for cell growth. Illustrative examples of scaffold materials include calcium phosphate, collagen, PLA/PGA, coral hydroxy apatites, carbonates, or processed allograft materials. 
     The sealing member  114  may be any material that provides a fluid seal. The sealing member  114  may, for example, be an impermeable or semi-permeable, elastomeric material. Examples of elastomers may include, but are not limited to, natural rubbers, polyisoprene, styrene butadiene rubber, chloroprene rubber, polybutadiene, nitrile rubber, butyl rubber, ethylene propylene rubber, ethylene propylene diene monomer, chlorosulfonated polyethylene, polysulfide rubber, polyurethane (PU), EVA film, co-polyester, and silicones. Additional, specific examples of sealing member materials include a silicone drape, 3M Tegaderm® drape, polyurethane (PU) drape such as one available from Avery Dennison Corporation of Pasadena, Calif. 
     The attachment device  116  may be used to hold the sealing member  114  against the patient&#39;s epidermis  111  or another layer, such as a gasket or additional sealing member, or another location. The attachment device  116  may take numerous forms. For example, the attachment device  116  may be a medically acceptable, pressure-sensitive adhesive that extends about a periphery of the sealing member  114 . 
     The reduced-pressure dressings  106  provide reduced pressure to the tissue sites  102 . Reduced pressure is generally a pressure less than the ambient pressure at a tissue site that is being subjected to treatment. In most cases, this reduced pressure will be less than the atmospheric pressure at which the patient is located. Alternatively, the reduced pressure may be less than a hydrostatic pressure at the tissue site. Unless otherwise indicated, values of pressure stated herein are gauge pressures. The reduced pressure delivered may be constant or varied (patterned or random) and may be delivered continuously or intermittently. Although the terms “vacuum” and “negative pressure” may be used to describe the pressure applied to the tissue site, the actual pressure applied to the tissue site may be more than the pressure normally associated with a complete vacuum. Consistent with the use herein, an increase in reduced pressure or vacuum pressure typically refers to a relative reduction in absolute pressure. 
     A plurality of reduced-pressure delivery conduits  122  may be fluidly coupled to a reduced-pressure source  124 . The reduced-pressure delivery conduits  122  may be conduits for carrying reduced pressure and removing liquids alone or may be combined with one or more lumens for sensing pressure and providing a vent or a purge. For description purposes, a distinct plurality of sensing conduits  126 , or lumens, is shown associated with the plurality of reduced-pressure delivery conduits  122 , but it should be understood that the sensing conduits  126  may be incorporated into the plurality of reduced-pressure delivery conduits  122  as a lumen in a multi-lumen conduit. 
     The reduced-pressure source  124  provides reduced pressure. The reduced-pressure source  124  may be any device or source for supplying a reduced pressure, such as a vacuum pump, wall suction, micro-pump, or other source. If the reduced-pressure source  124  is a micro-pump, the micro-pump may be directly coupled to the plurality of management devices  128 . While the amount and nature of reduced pressure applied to a tissue site will typically vary according to the application, the reduced pressure will typically be between −5 mm Hg (−667 Pa) and −500 mm Hg (−66.7 kPa) and more typically between −75 mm Hg (−9.9 kPa) and −300 mm Hg (−39.9 kPa). For example, and not by way of limitation, the pressure may be −12, −12.5, −13, −14, −14.5, −15, −15.5, −16, −16.5, −17, −17.5, −18, −18.5, −19, −19.5, −20, −20.5, −21, −21.5, −22, −22.5, −23, −23.5, −24, −24.5, −25, −25.5, −26, −26.5 kPa or another pressure. 
     The plurality of pressure management devices  128  may be coupled to the plurality of reduced-pressure delivery conduits  122  and fluidly coupled to the plurality of sensing conduits  126 . The plurality of pressure management devices  128  may include, for example, a first pressure management device  130  and a second pressure management device  132 . Each of the plurality of pressure management devices  128  may include a housing  134 . The housing  134  may include a visual indicator  136  that may include indicators such as pressure disruption or caution symbol  138  and a touch mute button  140 . A manual power switch  142  may also be included on the housing  134  or on the visual indicator  136 . Each housing  134  may include a first portion  144  and a second portion  146  or edge. A first coupling member  148 , which may include two components, may be coupled to the first portion  144 . A second coupling member  150  may be formed on the second portion  146 . The first coupling member  148  and the second coupling member  150  are sized and configured to couple with one another either fixedley or releasably. As described further below in connection with  FIG. 3 , the optional coupling members  148 ,  150  allow the plurality of pressure management devices  128  to be combined to form an integral module, i.e., a single unit. Other techniques and devices, e.g., fasteners or clips, may be used to couple the pressure management devices  128 . 
     Referring now primarily to  FIG. 2 , the system  100  for managing reduced pressure at the plurality of tissue sites  102  is presented in diagram form with only the first pressure management device  130  of the plurality of pressure management devices  128  shown. It should be understood that any number of additional pressure management devices  128  may be combined as part of the system  100 . Additional aspects of the first pressure management device  130  may be explained in more detail with reference to  FIG. 2 . 
     The first pressure management device  130  is fluidly coupled to one of the plurality of sensing conduits  126 , and the sensing conduit  126  is fluidly coupled to a force transducer  152  (or pressure gauge) within the first pressure management device  130 . The force transducer  152  is able to develop a signal, e.g., an electrical signal, that indicates the pressure within the sensing conduit  126  or is otherwise able to detect various thresholds of pressure. The force transducer  152  is coupled at  154  to a controller  156 . The controller  156  may be a printed wire assembly (PWA) or an application specific integrated circuit (ASIC), a microprocessor with associated memory, or other controller device. 
     The controller  156  is able to thus monitor the pressure within the sensing conduit  126  and thereby to monitor pressure proximate to the tissue site  102 . The controller  156  receives power from a power unit  158 , such as a battery or other source of electrical power. The power unit  158  is coupled at  159  to the controller  156 . When the controller  156  determines that the reduced pressure within the sensing conduit  126  is inadequate (e.g., below a reduced-pressure threshold), such as may be caused by a leak in the reduced-pressure dressing associated with the particular sensing conduit  126  or a blockage or other problem, the controller  156  may activate or modify an indicator, such as an audible indicator  160  (or alarm) or a visual indicator  162 . The audible indicator  160  is shown coupled at  161  to the controller  156 . The visual indicator  162  is shown coupled at  163  to the controller  156 . A mute switch or button  164  may be associated with the controller  156  and is shown coupled at  166 . The mute switch  164  may allow a user to silence the audible indicator  160 . Other user interfaces may be coupled to the controller  156  to control other aspects of the first pressure management device  130 . 
     A portion of the reduced-pressure delivery conduit  122  may extend through the first pressure management device  130 , and an activation sensor or transducer  168  may be fluidly coupled to the reduced-pressure delivery conduit  122 . The activation sensor  168  can detect the presence of reduced pressure and provide a signal  170  to the controller  156 . The controller  156  may compare the pressure delivered through the reduced-pressure delivery conduit  122  with the sensing pressure in the sensing conduit  126  to make certain determinations concerning performance and may also use the signal from the activation sensor  168  to continue to run controller  156  and other aspects of the first pressure management device  130 . 
     Referring now primarily to  FIGS. 1 and 2 , in operation, according to one illustrative embodiment, a user may apply the plurality of reduced-pressure dressings  106  to the plurality of tissue sites  102 . For example, the manifold  112  of the first reduced-pressure dressing  108  may be placed against the tissue site  102  and then be covered by the sealing member  114  to create the sealed space  118 . A reduced pressure interface  120 , if not already installed, may be installed to provide reduced pressure to the sealed space  118  or otherwise to the manifold  112 . Other reduced-pressure dressings may be applied to each tissue site  102  for which treatment is desired. 
     The plurality of reduced-pressure delivery conduits  122  may be fluidly coupled to the reduced-pressure source  124  in a one-to-one fashion. In this regard, the reduced-pressure source  124  may have a first conduit  172  ( FIG. 1 ) that goes to a branching member or splitter  174  that fluidly couples the plurality of reduced-pressure delivery conduits  122  to the reduced-pressure source  124 . The plurality of sensing conduits  126  are fluidly coupled to the plurality of pressure management devices  128 . 
     The reduced-pressure source  124  is activated and begins to deliver reduced pressure to the plurality of reduced-pressure dressings  106 . The plurality of pressure management devices  128  may be activated either automatically by the activation sensors  168  or manually by the user using an interface such as power switch  142 . Thus, reduced pressure is delivered to the tissue sites  102  and is monitored for each tissue site  102 . If there is a problem with the reduced pressure delivery at a tissue site  102  as sensed by one of the plurality of sensing conduits  126 , the pressure management device  128  associated with that particular sensing conduit of the plurality of sensing conduits  126  will sense the inadequate pressure via the associated force transducer  152 . The controller  156 , which monitors the force transducer  152 , will then provide an indication using the audible indicator  160  or the visual indicator  162 . The user may then identify which reduced-pressure dressing of the plurality of reduced-pressure dressings  106  is having the difficulty. Corrective action may then be readily taken. 
     As shown in  FIG. 3 , the plurality of pressure management devices  128  may be coupled using the first coupling members  148  and the second coupling members  150  to form an integral module  176 . The integral module  176  provides for more convenient movement by the user and may also be more aesthetic. 
     Referring now primarily to  FIG. 4 , an illustrative embodiment of an integral module  176  or pressure management module  176  is presented that is analogous in most respects to the integrated module  176  shown in  FIG. 3 . Accordingly, some parts are labeled but not further described here. There are, however, two main differences. First, the integrated module  176  of  FIG. 4  may be manufactured with three otherwise independent pressure management devices is a single housing  178 . Second, and related, the integrated pressure management module  176  functions as a junction or branching member or splitter to receive reduced pressure from a first conduit  172  from a reduced-pressure source and to provide reduced pressure to each of the plurality of pressure management devices  128  for delivery through a plurality of reduced-pressure delivery conduits  122 . While not explicitly shown, associated with or formed as part of the reduced-pressure delivery conduits  122  is a plurality of pressure sensing lumens or conduits. The plurality of sensing lumens allows the plurality of pressure management devices to monitor pressure at a plurality of tissue sites. At least one reduced-pressure delivery conduit  122  may be a sensing lumen that provides pressure for sensing purposes to the reduced-pressure source, e.g., reduced-pressure source  124  in  FIG. 1 . 
     Referring again primarily to  FIG. 2 , another illustrative embodiment of system  100  will be presented. With respect to this embodiment of system  100 , the reduced pressure delivered by reduced-pressure source  124  may be at a reduced pressure greater (more negative on an absolute pressure scale) than required anywhere in the system  100  and then stepped down to the desired pressure at various locations. Thus, as an aspect of each of the plurality of pressure management devices  128 , a pressure regulating valve  182  may be provided to adjust the reduced pressure delivered from the reduced-pressure source  124  to the specific pressure desired for a particular tissue site  102  associated with that particular pressure management device. 
     The pressure regulating valve  182  may have an adjustment control  184  for setting the desired pressure. Thus, as one example, a single reduced-pressure source  124  may be used that provides relatively higher reduced pressure (for example, but not by way of limitation, −200 mm Hg) and then adjusted by the pressure regulating valve  182  to a first desired pressure (e.g., but not by way of limitation, to −150 mm Hg) and delivered to a tissue site from which a graft has been taken. The system  100  also provides reduced pressure to a reduced-pressure dressing at the tissue site where the graft has been placed and may do so at a second desired pressure that is relatively less than the first desired pressure (e.g., but not by way of limitation, −50 mm Hg). In another illustrative embodiment, the controller  156  may control the adjustment control  184 . The desired pressure may be set by a user using a user interface to the controller  156 . 
     Referring now primarily to  FIG. 5 , an illustrative, non-limiting system  200  for managing reduced pressure at a plurality of tissue sites, e.g., tissue site  202 , undergoing reduced pressure treatment on a patient  204  is presented. The system  200  is analogous in many respects to the system  100  of  FIG. 1 . While only one reduced-pressure dressing  208  and one pressure management device  228  is shown, it should be understand that the system  200  contemplates a plurality of each. The plurality of reduced-pressure dressings, such as reduced-pressure dressing  208 , is placed on the tissue sites, e.g., tissue site  202 . With each reduced-pressure dressing, a reduced-pressure interface  220  may be used to provide reduced pressure to a sealed space  218  that contains a manifold  212  and also allows for sensing of the pressure in the sealed space  218 . 
     A reduced-pressure source  224  delivers reduced pressure to a first plurality of reduced-pressure delivery conduits  223 . A first conduit  272  may be used to deliver the reduced pressure to one or more splitters  274  or distributors that are fluidly coupled to the first plurality of reduced-pressure delivery conduits  223 . Each of the first reduced-pressure delivery conduits  223  has a first end  225  and a second end  227 . Coupled to the second end  227  of each of the first reduced-pressure delivery conduits  223  is a first pressure management connector  286 . A second pressure management connector  288  is releasably coupled to the first pressure management connector  286  to form a pressure management device  228 . A second plurality of reduced-pressure delivery conduits  290  may be used to fluidly couple the reduced-pressure interface  220  to the associated second pressure management connector  288  for each reduced-pressure dressing. Each of the second plurality of reduced-pressure delivery conduits  290  has a first end  292  and a second end  294 . The second pressure management connector  288  is coupled to the first end  292  of the associated conduit of the second plurality of reduced-pressure conduits  290 . 
     Each pressure management device  228  created by coupling the first pressure management connector  286  and the second pressure management connector  288  provides both a fluid coupling and may also function analogously to the pressure management devices  128  of  FIGS. 1-3  with respect to monitoring and control. The pressure management devices  228  provide a quick connection and also readily allow for one portion, e.g., the first pressure management connector  286 , to be reused and for another portion, e.g., the second pressure management connector  288 , to be discarded after use. Physically coupling the connectors  286 ,  288  may also provide an electrical connection between the connectors  286 ,  288 . Referring back to  FIG. 2  again, various components of the first pressure management device  130  may be associated with either of the connectors  286 ,  288  of the pressure management device  228 . 
     In one illustrative embodiment, the audible indicator  160  and visual indicator  162  may be associated with the first pressure management connector  286 . The controller  156 , power unit  158 , mute switch  164 , and force transducer  152  may be associated with the second pressure management connector  288 . Various combinations and permutations of the components may be associated with the two connectors  286 ,  288 . The pressure regulating valve  182  may also be associated with the second pressure management connector  288 . 
     As used herein, the term “coupled” includes coupling via a separate object and includes direct coupling. The term “coupled” also encompasses two or more components that are continuous with one another by virtue of each of the components being formed from the same piece of material. Also, the term “coupled” may include chemical, such as via a chemical bond, mechanical, thermal, or electrical coupling. Fluid coupling means that fluid may be in communication between the designated parts or locations. 
     In another illustrative embodiment, the pressure management device may have no electronics and may use a physical device to monitor pressure and to indicate inadequate pressure. For example, a pop-up pressure valve may be associated with each sensing lumen that is compressed under adequate reduced pressure, but expands and is visible when inadequate reduced pressure exists. 
     The pressure management devices  128  may be used with any reduced-pressure source, which may be any device for supplying a reduced pressure, such as a vacuum pump, wall suction, or other source. With the inclusion of a pressure regulating valve  182 , the pressure management devices  128  allow for a single reduced-pressure source to supply and monitor reduced pressure at different pressures at different tissue sites. 
     The reduced-pressure source may be a monitored system that monitors one tissue site from which one conduit is fluidly coupled, and the pressure management devices may be added to the additional conduits associated with additional tissue sites. 
     Referring again generally to  FIGS. 1 and 4 , in another illustrative embodiment, a system  100  for managing reduced pressure at a plurality of tissue sites  102  that are undergoing reduced pressure treatment on a patient  104  is presented. In this illustrative embodiment, an integral module  176  has a plurality of pressure management devices  128  similar to those presented in  FIG. 4 , but with only one controller (not explicitly shown) for the integral module  176 . The force transducers associated with each pressure management device  128  are coupled to the one controller for the integral module  176 . 
     Although the present invention and its advantages have been disclosed in the context of certain illustrative, non-limiting embodiments, it should be understood that various changes, substitutions, permutations, and alterations can be made without departing from the scope of the invention as defined by the appended claims. It will be appreciated that any feature that is described in connection to any one embodiment may also be applicable to any other embodiment. 
     It will be understood that the benefits and advantages described above may relate to one embodiment or may relate to several embodiments. It will further be understood that reference to “an” item refers to one or more of those items. 
     The steps of the methods described herein may be carried out in any suitable order, or simultaneously where appropriate. 
     Where appropriate, aspects of any of the embodiments described above may be combined with aspects of any of the other embodiments described to form further examples having comparable or different properties and addressing the same or different problems. 
     It will be understood that the above description of preferred embodiments is given by way of example only and that various modifications may be made by those skilled in the art. The above specification, examples and data provide a complete description of the structure and use of exemplary embodiments of the invention. Although various embodiments of the invention have been described above with a certain degree of particularity, or with reference to one or more individual embodiments, those skilled in the art could make numerous alterations to the disclosed embodiments without departing from the scope of the claims.