Fresenius Dialysis Treatment Lawsuit


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Fresenius Medical Care may have withheld important information about the potential side effects of NaturaLyte and GranuFlo acid concentrate drugs for dialysis treatment, which may have caused thousands of people to suffer:

  • Cardiac Arrest
  • Heart Attack
  • Sudden Death

STATUS OF FRESENIUS DIALYSIS LAWSUITS: These lawsuits are no longer being reviewed after Fresenius agreed to a $250 million settlement agreement to resolve the litigation.


OVERVIEW: Granuflo dry acid concentrate and NaturaLyte liquid concentrate are used during dialysis treatment together with a bicarbonate buffer to help clean the blood for individuals suffering kidney or renal impairment.

These products are manufactured by Fresenius Medical Care, which operates thousands of dialysis clinics throughout the United States and also sells equipment and medications used at most other dialysis centers, including DaVita Dialysis Clinics, DCR, Renal Ventures and others.

Before 2012, individuals may have faced a serious risk of suffering a sudden heart attacks and cardiac arrest during dialysis treatment with Granuflo and NaturaLyte, due to Fresenius Medical Care’s failure to provide adequate warnings and instructions with their product.

Granuflo and NaturaLyte contain sodium acetate, which is converted into bicarbonate by the body during and shortly after dialysis treatment. However, the manufacturer failed to warn physicians that these products contain higher levels of acetate than most other dialysis treatment products, requiring physicians to carefully monitor and change bicarbonate buffers administered with Granuflo or NaturaLyte, to avoid a risk of cardiopulmonary arrest and sudden death from heart problems.

LAWSUITS OVER FRESENIUS DIALYSIS TREATMENTS: A number of families throughout the United States filed claims after their loved ones died or suffered a catastrophic heart injury during or within 48 hours after dialysis treatment.

According to allegations raised in Fresenius dialysis treatment lawsuits:

  • Fresenius Medical Care negligently manufactured and sold unreasonably defective products
  • Granuflo and NaturaLyte were insufficiently tested and unsafe as designed
  • Inadequate warnings and instructions were provided with Granuflo and NaturaLyte, which did not fully inform the medical community about the nature and extent of the risk of heart attack, cardiac arrest, sudden cardiac death and other health problems
  • Even after Fresenius Medical Care knew or should have known about the problems with Granuflo and NaturaLyte, they continued to sell the products and attempted to convert clinics to use of the products by offering pricing discounts and packaging Granuflo and NaturaLyte with other dialysis products
  • Fresenius Medical Care provided critical information about the risk of heart attacks and death from Granuflo and NaturaLyte to doctor’s at their own clinics before warning other dialysis centers that used their products
  • Information was withheld in an attempt to maintain Fresenius Medical Care’s market share and maximize profits, at the expense of the safety of dialysis patients receiving their products

FRESENIUS DIALYSIS TREATMENT PROBLEMS: According to an internal review of patients treated at Fresenius Medical Care clinics during 2010, there were at least 941 cases where patients suffered a sudden cardiopulmonary arrest at the dialysis center.

In November 2011, Fresenius Medical Care issued an internal memo to their own physicians warning about the potential concerns associated with Granuflo and NaturaLyte, and highlighting that bicarbonate buffers should be regularly monitored and adjusted to reduce the risk of heart attack, cardiac arrest and death. This same information was not provided to other clinics that used Granuflo and NaturaLyte.

In March 2012, after receiving an inquiry from the FDA about the internal memo, Fresenius Medical Care issued an alert to other dialysis clinics that may use their Granuflo or NatruaLyte products during hemodialysis treatment.

In May 2012, the FDA warned about the risk of hemodialysis dosing problems with NaturaLyte Liquid and Granuflo Acid Concentrate, indicating that these products can raise bicarbonate levels in patients going through dialysis treatments, causing a condition known as metabolic alkalosis, which can increase the risk of heart attack, cardiac arrest, stroke, low blood pressure and death.

In June 2012, it was reported that Fresenius dialysis problems have resulted in an FDA investigation, examining whether the manufacturer of Granuflo and NaturaLyte failed to adequately warn doctors that the products could cause heart attacks and other serious injuries during hemodialysis.

In February 2016, Fresenius proposed a $250 million settlement agreement that is expected to be accepted and funded by August 2016.


  1. Stephen Reply

    I think these people are murders for profit, they should be held accountable they’re no different than the cartels…I personally am on dialysis and had my doctor tell me he would give a negative review to the board if I wanted to get a transplant,what gives him the right to play god with my life,because I’m not living to his so called standers,or maybe there’s just no money in the cure…im ready to get unchained from this machine. I don’t live for dialysis I use dialisys to live.

  2. Sabina Reply

    This medication took my only child. He was 22 years old and was a genius. He had a bright future, and this company took that from him. I’m disabled and my son was my primary care taker. This company not only killed him, they destroyed my life too. My son had gone through chemo and beat the Cancer, but these criminals killed him. They also took my reason to live

  3. John Reply

    Why can we not find any updated information on this Class A lawsuit? It’s now August 2015, and the most recent updates on the case are from December 2014, and even they don’t reveal much information. Am curious when this case might go to some kind of trial, and what outcomes victims can (hopefully) expect, and when might they receive some kind of compensation?

  4. cindy Reply

    John, I lost my husband, my whole world was destroyed and the lives of my children from these murders.. This has went on for far too long as of now the first bellwether trials begin on Jan 11,2016 & again in February. I myself feel this has went on for far too long and they need to take responsibility for their actions, they took from us and it’s time they pay for all the lives they have destroyed !!!

  5. Arthur Reply

    I feel for everyones loss in the a forementioned comments. I too lost someone dear to me My Father. He was on Dialysis for 3 years . He was regressing physically everyday . His Doctor told me he would have more vigor. Instead he passed on the same day of a treatment. I hope something good comes out of these class action suits.

  6. Connie Reply

    My father also passed away after 4 days of his first and only dialysis treatment. Anyone who has lost a loved one the pain never leaves. this leaves a lingering guilt and feeling of mistrust towards the medical system. It leaves you frozen in disbelief and feeling you should have looked at what dialysis items the nurses were using. I will always feel mental anguish. It was like i watched my father have a lethal injection on death row for a crime he never committed. He was a kind, trusting and good elderly man and he did not deserve this and neither did I. I am an only child and will always hold this ache in my heart for my father dying in this terrible manner. I have a lawyer.

  7. tovise Reply

    They took my dad from us. He was was all we had left after our mom passed 6 years earlier…. He was doing OK until he had his heart attack on the dialysis machine…. It still hurts….and its so hard without him… siblings suffer as well….

  8. Sharon Reply

    Hello family. After reading all of these comments my heart aches and I feel the pain ALL over again!!! I am an ONLY child and lost my Mother 3 years ago. The pain lingers daily. I LOVE her to LIFE EVERYDAY. My prayer is that there will be justice for us ALL & some what of closure. I saw my Mom minutes before she went into cardiac arrest while receiving treatment. I’ll NEVER forget that sad summer day in 2012 for as long as I live!!!!!!

  9. Edtrina Reply

    My Mom suffered from this medication she developed congestive heart failure she was all I had I was all she had she passed away May 7 2014 this medication caused her to be in and out of the hospital with breathing problems we are unaware of medication that’s being pumped into us we can only trust in our doctors and the diagnosis and medication giving to us my mom was a very sweet lady!!!!!!…I miss her so much no money can bring her back but I hope and pray that they are held responsible for this deadly drug!!!!

  10. Shaquita Reply

    It is now the year of 2016 and there hasn’t been any compensation yet. My mother passed away July 2012 and I still don’t have answers.. Justice shall be served although no money could amount to my moms life. My mom was the bread winner and when she passed we lost our house, my dad lost his mind and myself being a teenager had to taken on a major duty all at once. My attorney will not offer us a cash advance and it seems as if no one knows anything.. I hate to hear about you alls loses but everyone posting has lost someone so dear and can relate to one another’s response. Has anyone’s attorney given them updated information about this class action?

  11. ron Reply

    my father had a fatal heart attack 2 hours after his 2nd dialysis treatment. this happened in march 2009. it tore our family apart which is still true today. I agree that nobody is talking about this lawsuit. if the numbers are true and there are over 6000 complaints then something needs to be done and this company needs to stand up and take responsibility for a product that killed people.

  12. Michele Reply

    I lost my husband January 12, 2012 not even 24 hours after one of his treatments. I’ve sent several emails to my attorney for an update and I still haven’t heard from him. I’ve lost my car and my house.

  13. Nita Reply

    My God all these so lay on my heart. My sisters and I lost our 51 year mommie 2/09; eleven days after her birthday. She transition while doing dialysis! No amount of money can bring her back. I agree each year pass and no compensation is really cold feelings on their end. My attorney said even Judge not pushing. I want closure of this case with company paying all of us (including you) what we deserve!
    Stay Bless

  14. Debi Reply

    My father had a stroke because of this product and because Randy did not warn us of this product we continue to keep him on dialysis when trying to recuperate from the stroke all the while his fighting was in vain The product that gave him the stroke was been continuously pumped into his system as he was trying to recuperate from the stroke because he needed dialysis HAD they warned us that this product was bad we would’ve taken him off the product and let him recuperate from the stroke on his own because we didn’t have the option to do that my father died I won’t go away granuflo

  15. CK Reply

    $250,000,000 is not enough for Killing our relatives. This is crap.

  16. Arthur Reply

    Where did CK get that $250,000,000 figure? I heard that the first case didn’t go that well. Hoping the second case goes better. I did hear that Fresenius should of given ample warning about what was going on with the Granuflo & Electrolyte treatments.

  17. Lydell Reply

    My mother the matriarch of our family was given this treatment for the first time 03-09-2012 she had 4 massive heart attacks with in 4 hours of the treatment, she was a young 60 years old… we lost our families leader mother, sister, grand mother, aunt and cousin to so many. At 44 i was pushed into the being the head of a large family my siblings and I still have not recovered jobs were lost, houses, and lives destroyed… Because there was no warnings i watched my mother slowly die and fall asleep too never wake up… And what so sad its coming up on her four year death anniversity and this Jones family still hasn’t woke up and neither has the Granuflo company

  18. Lydell Reply

    My mother the matriarch of our family was given this treatment for the first time 03-09-2012 she had 4 massive heart attacks with in 4 hours of the treatment, she was a young 60 years old… we lost our families leader mother, sister, grand mother, aunt and cousin to so many. At 44 i was pushed into the being the head of a large family my siblings and I still have not recovered jobs were lost, houses, and lives destroyed… Because there was no warnings i watched my mother slowly die and fall asleep too never wake up… And what so sad its coming up on her four year death anniversity and this Jones family still hasn’t woke up and neither has the Granuflo company

  19. Debbie Reply

    My heart aches for all of us who have been victimized by Fresenius. Thier neglegence & greed have damaged our lives beyond repair. I still grieve for my mom who died during treatment in 2011 & will never stop. She was in dialysis for 4-5 yrs & i will never forget how she suffered & realize only now that the meds meant to CLEAN her blood was actually POISONING it!! Wish we knew then what we know now, i know her last yrs would have been more full of life! No $$ can compensate for her suffering & ours but hopefully that degenerate company will have to pay more than a months profits for all our ruined lives. God Bless ❤

  20. Erica Reply

    they offered a settlement for $250million.97%of planiffs gota agree to the settlement by july2016

  21. Erica Reply

    I cnt see how all of the ppl going to share $250 million.i mean hw much $ .every body get out of that for their pain an suffering?i lost my mom to these 2006,its really a joke to this all our loves ones death worth?

  22. terri Reply

    My husband was one of the unlucky people he passed a way 45 minutes sfter his session I am in the csse mdl you will be lucky with a couple thousand dollars. 97 percent have to agree if you don’t you sre rolling dice the stst case was lost will see I pray for all the familes

  23. Trina Reply

    I agree with Ck, 250k is not enough to share with 19,000 families. Theirs no price you can put on our love ones life. Not to mention they LAWYERS DON’T even know who has lawsuits or not but they knew when we hired them. They think this is a game but God is in control. This just adds on to the stress we’re already dealing with. If everyone don’t agree then what? We get nothing at all our it will be dragged out for a few more years. Unbelievable!!!

  24. Marguerite Reply

    I am a Dialysis patient for one and one half years now. I dialyze at Fresenius of Coram NY. I started here in oct 2015. Since that date, I have been sent to the hospital with massive headaches 3 times. Also, I am suddenly developing rhemutoid arthritis in my hands and other joints, very painful. In the last 3 weeks, in the last hour of dialysis, (I only do two and a half hours) I am getting pains in the center of my chest. I getting very afraid I may develop a heart attack. After having read all of your posts and now I’m really scared. I’m asking for the names of the chemistry used tomorrow and I think I need to move to another unit. Thank you everyone for this information and I’m so sorry for your losses of your loved ones. Your posts may save other lives and may have saved mine.

  25. pamela Reply

    My mom lost her life in 2009 do anyone know any updates and will all of us Will be sharing the money is that true

  26. Cindy Reply

    Yes we all have to share that Low Ball amount in different ways …. We need to stand together and say NO DEAL !!!!!

  27. John Reply

    I think they should be charged with homicide . I also believe that offering 25,000 to the survivor’s is a slap in the face , anyone who takes it is a fool !!!!!!!

  28. gwynn Reply

    frensisus won the wrongful death but there is to much leading to their failue to warn.if planiffs win the second case they will have to pay out way more .really this why they wana settle an stp the second case.come on yall our love one life is worth more than $250million.dnt take the settlement lets take our mon passed rite there on the table during a treatment…they say heart failue.i say dangerous drugs…god bless u all an good luck.

  29. Billy Reply

    My dad died within 15 minutes of this treatment. April 13 2011. He always told me they were doing more harm than good. Several times before passing he was life lined to hospital due to treatments on previous days. He suffered for a long time.

  30. John Reply

    Anyone who would even think about taking this settlement is not thinking clearly !!! I think that everyone should go to their nearest federal Marshall’s office and file charges against them . How long do y’all think they would try to settle this matter with some correct numbers . That’s what this is about so they don’t go to prison!!!

  31. Yvonne Reply

    My mother passed December 2,2011. I have read that a lot of you say let’s not take the settlement. Why not? Our loved, ones are gone. If they continue on with these trials, no telling how long it will be before we hear anythiing.Take a moment and think, no amount of money will ever replace what we have lost. Let’s not get to greedy . They must might shut the whole thing down. Who knows! Ijs

  32. Jessica Reply

    My attorney stated that the settlement will be based on the years the patient suffered and how long the product has been used. my mom passed in 2010 and my offer is 500,000.00 after lawyers fees!! If I opt out this case will prolong another 5+ years!! No two people will get the same amount….Continue to pray and hope that justice is served.

  33. frank Reply

    No amount of $$ is going to bring our loved ones back. The amount has been stated $250M and of that $220M will be divided. Every case is separate. If 97% does not agree than the chance of receiving nothing is real. We are all angry which i agree to but again this is a legal process and the settlement amount has been set. Again if 97% does not agree you are looking at receiving nothing especially since the first case presented was awarded nothing. There are too many people involved to think about one’s self and not others. A lot of individuals on here have families to take care of and bills to pay as this has been in litigation for over 3 years.

  34. Arthur Reply

    Frank one case don’t make the deal. They just continue with the MDL . If one the cases gets big money, that’s what they are trying to avoid. Johnson & Johnson has to pay over 5 Billion in the Talcum Powder lawsuit. So if you want to jump ship you might as well.

  35. Connie Reply

    Accept the settlement, it’s really no use in going after more money, God will be the one to lay judgement on them. We live in terrible times where people and companies with money can get away with this on earth but not on judgement day. My father was killed by their Granuflo. I will always have an ache in my heart and mistrust, but God will
    help me through this.

  36. Zanity Reply

    I lost my grandfather in 2005 from this drug. He raised me as if I was his own. I was a high school student who had never lose anyone close to me before. This was a very traumatic experience for me, it still hurts as though it happened just a day ago. 11 years later and I can finally get some type of closure. No there is no amount of money that bring him back, however I can use the money to do things such as purchase him a tombstone. We are all hurting whether its $1 or $100,000 it is still a dollar more than what we currently have. There’s no need to lose to a love one and some money.

  37. Cassandra Reply

    My dad died at age 52. He was too young to die. Because of this crap. He never got to meet some of his grandbabies because of Fresenius 250 million is not enough. This is BS. These are lives they took. Not pieces of paper.

  38. Crystal Reply

    My mother died at the age of 49! $250,000,000 is nothing when you have to divide it amongst at least 12,000 people. My mother was our world. These killers should be offering at least $250,000,000,000,000

  39. Kim Reply

    Wss told im out of the suit because one of the criteria is it had to be within 24 hours from time taken off machine. All the info says 48 hours, but a scientific study was done showing after 24 hours you are back to normal levels. My mom died 30 to 44 hours after treatment. If we had taken her to hospital, if we had,known that her symptoms were more serious had we been warned, maybe we would be on the injury side of this mdl, not the dead side. This whole thing is not right. Who is getting paid off?!

  40. Arthur Reply

    I am curious with all these criteria’s they are using to eliminate cases from 12,000 to how many at the end? What number are they trying to reach to make it more attainable for the plaintiffs to come to a more amicable agreement. There is one question My Attorney’s have yet to answer if their is an age requirement in all this . If the people are over 70-80 will they be taken out of the equation. If anyone has heard about this or if it’s an issue please comment. Many of you who have commented the deaths have occurred in the 50’s to 60’s range. I know My Attorney are pushing for us to accept the offer, like if they don’t want to try anymore. Seems odd.

  41. Tracy Reply

    Hello everyone. To my knowledge they are now trying to exclude a lot of plantiffs(our attorney). They are telling a lot of people that they no longer qualify for the settlement because of different reasons..So that 10,000+ that thought they had a case, now is being told that they have no case!! Wow! To wait this long and now this. So your case will be worth more than $25,000 if they keep throwing people out of the settlement.

  42. Kim Reply

    Arthur, my mom was 79. My lawyer did not mention age as why we are not eligible. Only that it was over 24 hours since treatment that she passed. I cannot agree with this at all. My mother was not feeling well, dizzy and didn’t want to eat. This is pretty typical of how she is after dialysis so we weren’t too worried. IF we had known of the bicarbonate issue, we WOULD have taken her to get checked out. How guilty do you think we feel?!

    The amount of the settlement, only getting one bellwether listed to, just doesn’t seem right. Not fair to the common man.

  43. Widow Reply

    They took my husband from me and my children father and our lives has been downhill every since. I awoke one morning with no clue that I would end my day a single widowed mother and no amount of money will bring me or my children peace my now 12 year old has to grow up without his father. Our only daughter will never experience her father walking her down the aisle. So settling for less is not something I’m willing to do because my husbands life was priceless to me no amount will fill our void but I will not allow them to penny pinch us

  44. Birdie Reply

    No amount of money would ever justify these brutal MURDERS and the life long harm passed on to the dialysis patients (victims) who are still alive. My mother passed away in 2009. Even though, it hardly matters, I was in my mid twenties when she passed. However, my baby sister was only five years old. Words cannot begin to express the heartbreak that I felt for her. My own personal grief didn’t compare to the grief that I felt for my baby sis! At one point I thought that I’d die from it! Our mom ended up passing in the hospital. She dialyized and that caused cardic arrest. I had her resuscitated and we continued with dialysis. She coded again!!! We dif Mr know that the dialysis treatment was causing the cardiac arrest!!! Many times I blamed myself for her death, especially when I made the choice to take her off of life support. These MURDERS should damn well be ashamed of themselves!!! I thank my FATHER in heaven that I decided that I would be ok with whatever verdict came to pass. HE is my justifier and HIS wrath will be un-escapeable from those that will reap it! I had to move on for my sister and for my own sanity. May FATHER bless all that lost loved ones and may he bless those that are still living with the irreversible damage done.

  45. Debbie Reply

    As far as age goes, my mom Died in 2011 within an hr after treatment. She was 83 & being poisoned in dialysis for yrs. She suffered terribly. Spoke to our attorney recently, & nothing was ever mentioned about the age factor. What an INSULT to even consider excluding anyone due to age! What…does that mean they didnt SUFFER? In reality, as we age our lives become MORE precious as the yrs wind down. Then you really must live each day to its fullest!! Lincoln said “In the end its not the yrs in your life that count, its the life in your yrs.” Fresenius stole LIFE from us…thats how i see it. (the amt they offer is an insult also) Good luck & God Bless All☀

  46. Kim Reply

    I cannot believe that my case was dismissed because it came down to 30 to 44 hours NOT the 24 they are allowing after dialysis. I hate to say this but if we did not push our mom to get out of bed that morning it would have been a lot less than 24 hours after. The letter of the freakin law. sucks so bad.

  47. R Reply

    My second clinic treatment was 12/24/11. The medicine that was suspose to help me ended up stopping my heart. I was 25 at the time. It was 2 weeks ti the day after my birth day. To everyone who lost a family member due to this chemical i am sorry for your lost. I dont think 250m is enough to comp. gor the lost that we all share. When i say this i dont mean to offend anyone but they need to pay more to ppl who survived this. I was 25 now i am 30 and have a 1 1/2 yo son and a wife to take care of. I deal with constant chest pain and now suffer with ptsd. I am currently still on dialysis and in constant fear that something like will happen to me again. I dont kno what to do i just want to provide for my family incase GOD fobid that something would happen to me.

  48. Cassandra Reply

    I am sure they are going to take your case under consideration “R”, but I disagree that you should get more than people who have lost loved ones, including me. I lost my dad. He was barely over 50. I guarantee he would take your place anyday to see his grand kids ( 2 whom he had never got to meet). Now my mom struggles to pay her bills without my dads disability checks. I have empathy for you, as I watched my dad have issues for years on dialysis. I wish you well.

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