I don't know the Rinnai units specifically but it likely uses a diaphragm pressure switch which senses the pressure differential between the sample location and ambient.
Pressure switches are often used to verify the burner inducer fan is operating before ignition and while there is flame.
If the intake plenum pressure is significantly lower than ambient, that would signify too much restriction within the incoming plenum, resulting in burner shutdown and an error code. For exhaust, excessive pressure would indicate a flow restriction also resulting in burner shutdown and an error code.
Diaphragm switches often utilize a small diameter tube that is inserted through a small hole into the air plenum to be sampled.
There are many versions of diaphragm switches but here is a link showing a style that is common within HVAC devices.
https://images.app.goo.gl/1whHxVHf5HTaMMXh6