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. Joe Reply

    Everyone that is not Opting-in its working
    don’t change your mind now keep it up do
    not opt-in the first bellwether trial is set for
    February 6,2016 do not believe anything you lawyers tell you. I just read the full order judge Woodlock is pissed criticized Lawers Hagens and Berman basically saying You work for the plaintiffs not the other way around.Hagens and Berman
    have 250 Cases and 70 of them have not opted in all cases total 12,000 cases only 7700 have opted in. Keep it up and you will get your bellwether trials Good job people.
    Woodlock also said the lawyers are looking at it like an asset they can manipulate to benefit themselves.I swear that’s what he said. Hagens and Berman Are going to be the trial lawyers for the first bellweather trial if they happen.I don’t know if that’s a good thing the judge is already pissed off at them. Woodlock would not allow
    more discovery Hagens and Berman asked he said no, you should have Everything you need in the discovery process already,he will not allow any more.

  2. Joe Reply

    The first bellwether trial is set for February 6, 2017 I made A mistake on that other post and put 2016 by mistake it’s actually February 6, 2017 if they do not reach the 97%

  3. Judy Reply

    Hello I have been reading these comments for months this is how I get my information. I don’t know what to think about this case. My mother died in 2009 while in the dialysis chair and our lives haven’t been the same. Thanks for posting information it’s helpful

  4. Pat Reply

    Can anyone please tell me more about this case. My sister filed a case without my siblings and knowing. Our names were put on the suit without our knowledge. She’s not telling us anything . We found out by mistake. Our mom past away in 2003 . She was on dialysis for 16 years. My siblings and I don’t know if she has opt us in or not. We don’t even know who the lawyers are. She won’t tell us anything. can someone please tell us who can we contact about this. THANK YOU IN ADVANCE.

  5. Nike Reply

    We are now being threatened by the lawyers. We were basically told to opt in or they would file a suit against us. If we didn’t qualify that means we lost our case right? Your agreement with us was a percentage of the winnings but we loss. They are working very hard at weeding the numbers down. This is the only way the select few that qualify can receive something worth signing for. Don’t opt in people, let them keep the $1500 or give it to the selected few who deserves it. Our love ones don’t matter because they didn’t die within the timeline.

  6. Jovan Reply

    I really need some help because my lawyer took all my mom information over 2years ago i sent in her autopsy and everything that was needed and now he tells me that her davatia dialysis center was not using Granuflo but it seems like that would have been one of the first things you would have checked on but now when it is time to opt in/out now you call and say we don’t have a case and this was February of 2012 if anyone have any suggestions please let me know and thank you

  7. Arthur Reply

    Pat in my case on the lawsuit I am the legal representative. My siblings had to sign as well. In my case I receive the money and then I would have to share with my siblings.

  8. Angela Reply

    Can anyone tell me where your getting your information from, seeing I don’t hear anything from my attorney’s? I was forced to take the deal after I was told they would drop my case! I too believe we are not being told everything & are being taken advantage of! We need to get this case to our new president elect Trump & get what we deserve!

  9. Rick Reply

    Hey Angela, f*** Trump…

  10. Mindy Reply

    No amount of money is going to change what has happened. I myself am ready to have all of this over with. Each letter and phone call I receive puts me back into depression which is becoming harder to pull myself out of. I’m ready to move forward and begin living life again without being being so full of anger and hate towards those who took away what’s always been most important to me.

  11. Thomas Reply

    Trump will get them u no we just sitting here letting them manipulated our case to there advantage we have no say so I no minr is a bsll buster im ready to organize and world wide pickett im ready to dur my own fighting im ready to stand on capitol hill its 12000 of ud plus I no if we all gather in front if thr white house ot the justice department something will happen now if u dont. Qualify the fight is over just being honest any thing thst dont meet the criteria

  12. Rene' Reply

    Joe, are you sure you have the correct information? The only bellwether trails I show in February 2017 are for the drug Xarelto.

    The initial two cases are currently scheduled for February 6, 2017 and March 13, 2017, the third case is scheduled to be heard on April 24th of 2017, and the final is scheduled for May 30, 2017. The cases involved in the MDL now number approximately 2,200, and similarly allege that blood thinning drug Xarelto can cause dangerous uncontrollable bleeding episodes in patients taking it.

  13. Bill Reply

    Defendants’ Joint Motion for Further Extension of Settlement Program’s Opt-In and Voiding Deadlines1813 ALLOWED and adopted as follows: January 13, 2017 – Date by which plaintiffs may opt in to the settlement program; January 18, 2017 – Date by which all opt in data and documents will be supplied to Fresenius; May 10, 2017 – Date by which Fresenius may elect to void pursuant to the terms of the MSA; and, May 17, 2017 – Date by which Fresenius shall fund the settlement if not voided

    This is what someone else put on another website I don’t know how true it is but it looks truer to me. This person was also saying there is some kind of thing called lone Pine or something like that and you are going to have to prove the drug caused the person to death or injury . I think that’s crazy wouldn’t you win at trial if you could prove the drug causes the death or injury to someone?

  14. Debra Reply

    If you opted in and they don’t get the 97 percent what happens in the bellwether trial or what happens to the people that opted in?

  15. Debra Reply

    And if you did opt in do you get paid out in February 2017? Also if the case gets dismissed and everyone has to refile, can someone join in on the lawsuit that would qualify but didn’t know about the lawsuit in the first place?

  16. Marie Reply

    So they have yet extended the Opt in date another 20 days? It has already been six months. It is also been four years since my mother passed away. Now you’re saying it’s also going to be May, if they decide to pay out. I have never seen anything drag out so long in my life. Anyone know who gets the interest on all the money that is just sitting there? This whole lawsuit has just not been fair to anyone. Except the rich drug company and lawyers of course. Makes me sad that we are all so helpless and have no way to effect the outcome.

  17. Joe Reply

    I am positive I am right with those numbers. I know it’s something people did not want to hear. Those numbers were given at a hearing for a long pine order they are correct. Here is A clip from Here is a clip that someone wrote. (Posted below) there are 7700 people so far the article is dated December 14, 2016 .she’s quoting the numbers from the manuscript from the lone Pine hearing.

    Dialysis Judge calls for more information from those suing Fresenius People who want their day in court over alleged injuries caused by Fresenius Medical Care’s dialysis drugs must first provide more information about their claims including expert certifications, said senior U.S. District Judge Douglas P. Woodlock.
    Woodlock pulled the so-called Lone Pine order to weed out meritless claims and to encourage a settlement with the stronger cases that remain. About 12,000 cases are pending in the multidistrict litigation (MDL) against Fresenius.
    The lawsuits claim that Fresenius’ dialysis concentrates GranuFlo and NaturaLyte caused toxic levels of bicarbonate in the blood of dialysis patients, which caused patients to suffer heart attacks and sudden cardiac arrest. They also allege that Fresenius did not adequately warn patients or health care providers of the risks associated with the dialysis concentrates.
    Fresenius offered a $250 million settlement provided 97 percent of plaintiffs opt in. So far, only 7,700 plaintiffs have opted in, and more than 1,000 claims have been dismissed. Woodlock believes the Lone Pine order would prompt some hedging plaintiffs to accept the terms of the settlement.
    The plaintiff’s executive committee agreed with the Lone Pine approach, but some attorneys representing clients said the order had no precedent in the First Circuit and should be rejected. Woodlock didn’t back down, saying that some lawyers arguing against the Lone Pine order didn’t know enough about their cases to move forward.

  18. Joe Reply

    The bellwether trial date is no longer valid January 6, 2017 will not be the bellwether trial date. It was going to be but they extended the opt-in date and so that date is no longer valid for the bellwether trial so disregard it .For the people asking more people can opt in if they did not realize they had a case plain and simple no.
    They still need approximately 3000 to opt in to meet the 97% but as you know from the opt-in docket it was stated they have the option to pay out the people that have Opted-in or just walk away. I don’t know what they are going to choose to do. My belief is they are going to choose to pay the people that have opted-in.I don’t know how many people are in category one but it doesn’t look good payouts most likely will not be what you are expecting much less. If I did not already out in knowing the numbers now I never would have opted in. Everyone can make their own decision but I would not opt-in if I have not done so already.

  19. Joe Reply

    If your case gets dismissed it will probably be done with prejudice meaning you can never no another lawsuit against this company. Dismissed different than voided if voided your case still remains they are not voiding your case they are Voiding the settlement because they have not reached the 97% if that happens nobody knows yet. Your case will remain in the court them until a bellwether trial date is set. Or they come back with a different settlement offer. But The likelihood is for the people that have opted in they are going to pay those people.Those cases will be gone forever never to be able to file another case against this i’m pretty again on the same grounds. They really are screwing everyone nobody would’ve opted in if they knew there was a total of 12,000 cases 7700 have already opted in I have no idea how many fall into category one but it definitely isn’t going to only be a few hundred in my opinion , So again the company screwed everyone except for those that have not opted-in. They will have to show more causation or proof and they will end up getting a trial date if more proof can be shown.

  20. Joe Reply

    1816 order Order on Motion for Order Fri 4:05 PM
    Judge Douglas P. Woodlock: Defendant FMCNA’s motion for entry of Lone Pine Case Management Order1797 ALLOWED in principle requiring submissions under oath on or before March 29, 2017 by plaintiff’s counsel, who must attest to use of defendant’s product prior to the patient’s alleged injury, and by a qualified medical expert, who most explain any opinion testimony regarding specific causation of plaintiff’s alleged injury by defendant’s product. A more detailed Case Management Order will issue following the holidays, outlining the specific obligations of plaintiff’s counsel and the medical expert(s) in this regard.

  21. Joe Reply

    I am the one who posted that stuff on the other website. It’s All true it came from court motions and for the lone Pine order I believe mostly it will benefit people that have not opted-in.I have seen people on here stating they have proof but they are still getting put into category three $1500 if this is true all you have to do is have your lawyer show the proof you say you have to the judge and he will give a trial date to you. Call your lawyer first to Verify. As for those numbers 7700 those Numbers are From a hearing they had before the judge ordered the Lone pine. The transcript is not available right now it’s restricted. I was able to get my hands on a portion of it. As for the bellwether trial that date is no longer valid this regard January 6, 2017. At the hearing it was still a valid date,but because of the extension to January 18 for the opt-in that date has been voided.
    Here is the order restricting access to The hearing transcript,you can purchase the transcript on or after 3/22/2017

    Order number 1814 misc Transcript Thu 1:17 PM
    Transcript of Motion Hearing held on December 14, 2016, before Judge Douglas P. Woodlock. The Transcript may be purchased through the Court Reporter, viewed at the public terminal, or viewed through PACER after it is released. Court Reporter Name and Contact Information: Brenda Hancock at [email protected] Redaction Request due 1/12/2017. Redacted Transcript Deadline set for 1/23/2017. Release of Transcript Restriction set for 3/22/2017. Associated Cases: 1:13-md-02428-DPW, 1:14-cv-11101-DPW

    So there it is, Everything I am telling everyone is all true. I have no reason to make things up. I am not gaining anything by telling you this information .The lawers keep lying to everyone telling them they don’t know anything yet,Witch is a bunch of crap. Look always verify everything with your lawyer although they are not always truthful at this point you have no one else to turn to . One more thing the opt-in date was only extended 2 weeks but no one will know if the 97% was met or if the settlement is going to be paid out to the people that did opt in or if it is going to be voided altogether.The date that information Will be known is May 10,2017 or after. Funding payouts if The settlement is not voided should begin on or a short time after May 17,2017

  22. Thomas Reply

    I no one thing for sure it dont matter one day it will be over and they make that call if the settle my case they will have my word to shut up if they don’t ima dedicated the rest of my life to show the world what happen to us and im going to make it my business to make world news to the point I go to jail for tresspasing I would not care about money or any thing of that nature they shit me once by wat happen if they think I will let them do it twice please im ready for war and a media frenize level the news run the world and wat happen is big news the united states will have to step in these are medicare medicade patient that the us pay to get trated so u better no one thing the lawyers are not in charge Of my stuff if they ignore wat happen I promise I will be the example for us all if the shit us now today I wait until the end at the end of the day im 100% sure of my paperwork rather its in may or not it will be on them how the approach me im ready to hammer they ass so if its a rep looking mess around and pull out and pull a fast one they will be ruin remeber it over 12000 of us do u no how much power we actually got if we form pickett4 all oved the country including capital hill in front of all major news sations we go at every body us govt an all for allowing the billion dollar company to hurt us for a tax cut its so many ways to skin a cat let the real shit began it either they pay or its war

  23. Marie Reply

    Thank you so much for the info Joe. My lawyer doesn’t seem to tell me anything. I do know that I did receive papers that stated that I am a level one. Not sure what that even means at this point but I guess we will wait and see. Keep us posted please. God bless all of us .

  24. TROY Reply


  25. Debra Reply

    Joe, So in other words, those that have opted in will not receive anything until after May 17th and the settlement can be voided altogether anyway after waiting all this time? For those that opted in, if the case is voided, can we refile?

  26. Mark Reply

    Joe how do you know what category you are in, and if you did opt-in can you still be in other categories other than category 1?

  27. Joe Reply

    Debra, The payout date you stated is correct. As for voiding the settlement they can do so only if The 97% has not been met. If the 97% is not met they have a option to pay the people that have opted in or to just walk away. If they just walk away that means they are voiding the settlement. That does not mean the lawsuit is voided just the settlement. If the settlement is voided you should not have to do anything the case you first filed with your attorney is still valid, so you will be in the same position you were in before the settlement offer.

  28. leasha Reply

    my name is leasha and i lost my mom she had two cardiac arrest, it looks like we are all in agreement, we dont want to opt in to this discrace of a settlement we need to get eachothers info and continue on and get these people they are not taking our family members lives seriously, knowingly giviing people a drug that can kill is sick, all for money’ anyone with any info on what we should and can do please get in toch with me. thanks.

  29. Debra Reply

    Joe – you seem to know a lot about this case. If they don’t get the 97 percent opt in why would Fresenius decide to pay the cases that have opted in instead of just voiding the case? What advantage is it for them if they pay the opt ins? Wouldn’t it be financially in their best interest to just void the case? Then they don’t have to pay anything. It all doesn’t make sense to me.

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