The wireless distributed acquisition system for near infrared spectroscopy (WDA-NIRS) is a portable, ultra-compact, continuous wave (CW) NIRS system. Its main advantage is that it allows continuous synchronized multi-site hemodynamic monitoring. The WDA-NIRS system calculates online changes in hemoglobin concentration based on modified Beer-Lambert law and the tissue oxygenation index based on the spatial-resolved spectroscopy method. It consists of up to seven signal acquisition units, sufficiently small to be easily attached to any part of the body. These units are remotely synchronized by a PC base station for independent acquisition of NIRS signals. Each acquisition module can be freely adapted to individual requirements such as local skin properties and the microcirculation of interest, e.g., different muscles, brain, skin, etc. For this purpose, the light emitted by each LED can be individually, interactively or automatically adjusted to local needs. Furthermore, the user can freely create an emitter time-multiplexing protocol and choose the detector sensitivity most suitable to a particular situation. The potential diagnostic value of this advanced device is demonstrated by three typical applications.