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. Linda Reply

    I’m waiting on a letter too. Does anyone know if the letter coming through mail or fed ex?

  2. Serg Reply

    High 6 Figures?

  3. jessie Reply

    Got my letter on friday. Not gualifief my brother died in 2013 lawyer said patient must have died between 2002 and dec 31 2012. I did not close my case .because i think thhey will not get 97% to opt in if you close your case you cant sues granuflo any more

  4. Carolyn Reply

    I finally received my letter today stating to either opt in or opt out….by Sept 16… lawyer is advising all his clients to opt in because going to trial will not guarantee you will be awarded…. It appears payments will be between $45-85 thousand…… So basically they are trying to say this is as good as it gets…wow!

  5. Debra Reply

    Got my package yesterday by FedEx

  6. K Reply

    Does anyone know how much each family is expected to get? $250mil just doesn’t seem adequate enough for how many families have sued.

  7. florida Reply

    i got a letter from my lawyer saying they could not find that they used that product. and asked me to opt off on the company. I said no and I mean no. Never because if you could not find that they used this product, why not tell me that in 2012 when I got a lawyer or 2013 it would not have taken this long to find that out. Why wait until a settlement is made and then u come up with we didn’t find the product was used its 2016 now after a settlement is made and u ask me to opt out. Well I told them no,she tell me well u have that right. About a week later my lawyer call asking me to close my case and I said no , I told him I will close that door with,but never the medical company. He tells me all he have to do is go to the judge and ask for something and it will go away in 30 days so I told him to do what he got to do . Because I am not going to close my case with the medical company. Why would he have to got to the judge if I didn’t have a case,and why will MY LAWYER want me to sign off on the medical company. Its looks like to me he jump ship got off my boat and aboard the medical ship that all I am saying. Never will I sign off on that

  8. jessie Reply

    Do anyone know what going to happen if some one do not take the opt in will the case still be heard?

  9. Ck Reply

    I am also concerned. I have received no information sine I filed short form complaint, my husband died within hours of treatment and meets all criteria that some of you commented on. Hope I recieve a letter soon so I can put this behind me. Please keep posting any info you recieve.i will attempt to contact the liaison attorney listed on the complaint for my state. Good luck to you all.

  10. Robin Reply

    We are assuming this letter was sent in error because your firm had our mothers case for over 3 years. We kept in constant contact with you as you filed this and that. All the while you never indicated that our mothers case was nothing but valid.

    But now since a settlement has been reached you are cutting our family off from closure. This is why distrust is rampant in the minds of people towards the legal community.

    This company made a mistake that cost our mother her life. We came to the legal community to make it right but instead this same community uses their clients loss, pain and suffering to line their greedy pockets the same way that the drug company did.

    There needs to be a class action against the way we are being misrepresented by the legal community because your mistakes aren’t mistakes they are deliberate! Driven by greed just like the pharmaceutical companies. Therefore we will not sign that letter you sent us, we will not give you the easy way out.

    Our mother died apparently so you and that drug company can be that much richer.

    So enjoy the fruits of your labor because there is a special place in the bowels of HELL, already filled to capacity with the likes of such in your profession, yet making room for more.

    Have a great descent!

  11. Tracy Reply

    I just called my attorney and was told that they just recieved paper work to send out to claimants. So hopefully i will recieve my packet or letter letting me know if my case qualifies or not.I will post and let yall know the outcome.

  12. Mike Reply

    So true robin!

  13. Robin Reply

    People don’t opt in. This would just be helping the legal community to sell us out! Don’t sign that letter to let that drug company off the hook. That is a German own company that grossed over 16.7 Billion dollars a year in 2015 alone. They have used our loved ones like laboratory rats to experiment on. The settlement amount will just merely cover those attorney legal fees across the country. Their just selling us out! Don’t let them get away with this.

  14. Robin Reply

    If an individual had contributed to the death of so many people they would never see the light of day again. But you grease a few legal palms from a trillion dollar company and BINGO!
    We all get screw over.

  15. Rochelle Reply

    Has anyone heard of this new criteria? My father in law went into cardiac arrest about 2 hrs after having dialysis in July 2010 and could not be revived. My husbands attorney is saying that somewhere in all the reports from that day it needs to say “cardiac arrest”on something, doesn’t matter what as long as it’s on any paperwork from that day. He’s saying that’s a new criteria that was added a couple weeks ago, we can’t find any information on this. His death certificate states that he died from a heart attack. Would the emt’s report have cardiac arrest on it? We’re just trying to figure this out. His attorneys are requesting more paperwork. Thanks in advance if anyone has any info to shed light on this.

  16. christina Reply

    i feel im being misrepresentated

  17. Josh Reply

    It behooves these lawyers to get as many settlements as possible, why? the more they settle, the more $$$ they make. many of the folks who are “kicked out”, keep in mind, you don’t have to pay your lawyers a dime, and they don;t make anything from you if you’re one of the kicked out folks. Waste of time, and man hours, so like I said, it behooves them to settle as many as they can.

    The lawyers won’t like not making money on many of these cases.

  18. Fran Reply

    Still waiting for papers . Does anyone know any details for these settlements? Feeling confused#frustrated !!!!

  19. Karen Reply

    I just spoke with my attorney and they stated we won’t get our info if we are included or not until around Sept 15. Then we will receive a packet. Just keeps getting pushed back every month. Very frustrating and sad for all of us involved.

  20. Dan Reply

    Wow, It hurts me to see so many families lose love ones receiving treatment that’s suppose to help, not kill. Now that a mediocre settlement has been reached they handpicked who’s in and who’s out. They contact people saying you have a case. Just to tell them they don’t meet the criteria for settlement. It wasn’t a criteria when people love ones died. So what makes a $250 million settlement worth disrespecting your Integrity fighting for a Wrongful Death case. Asking people to dismiss a case, Never to be able to bring lawsuit again. This has to be Misrepresntation and Intimidating all in one because they get paid you don’t. This is pure Injustice

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