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. William Reply

    My mother had 3 dc ifferent heart attacks on 3 seperate dates last ome resulted in death with the tubes still in her mouth sad thing about it she was inly on dyalisis 19 days and did a tital of 9 treat mrnts 6 that were done at the regional hosptsil and three at davita were the uo graded her dosage from standard to 39 each time she was on dsvits machene she be came unresponsive 3rd one was th o strong and my moms heart coukd not takr it

  2. Deb Reply

    My attorney said had to show 1) cardiac arrest, 2) within 24hrs and 3)proof of use of the product. My husband was exactly 24 hrs. so they are getting ambulance records. They said that we should know by mid June and decisions made by July 15th.

  3. Jay Reply

    My lawyer said they were going threw cases to see what cases fit the qualifying criteria for settlement.They said that many of there clients would not fit the criteria for a settlement offer and at that piont they would dismiss the case and they could continue the lawsuit with another lawyer or yourself.hopefully we qualify..

  4. Kim Reply

    It went from 48 hours to 24 hours because it was proven by scientists that your levels went back to normal after 24 hours. I disagree. My mom was bombarded treatment after treatment and in the end her organs could not take it anymore. Very much one-sided here if you know what I mean.

  5. Tee Reply

    Can one sibling file a claim without including all the siblings and husband?

  6. jay Reply

    No the husband of the injured party is the only one that has the right to file next in line would be the children of the injured party and the monies would be split evenly between the children but if husband is still living nothing the children can do.

  7. jay Reply

    No you can’t

  8. stanley Reply

    very concern

  9. jay Reply

    What do you mean by very concern

  10. Isha Reply

    My prayers are with every family that loss a family member due to the complications of dialysis. I don’t think that it is fair how they are doing this settlement. What they fail to realize dialysis takes a toll on the body. My mother did not have any heart condition before she was put on dialysis. Soon as she started dialysis my family could see a decline in her health. Every month or two months she would be admitted to the hospital after dialysis due to a stroke or her potassium was to low. It was always something. I wish everyone the best.

  11. Shan Reply

    Still waiting on this end. Got a letter in the mail but no form to opt in or out,. Just waiting. Hopefully July

  12. Tracy Reply

    What did your letter say? I havent heard anything from my attorney. Im calling him Friday.

  13. Colten Reply

    Tracy were you able to reach your attorney today? I am curious as well since i have not recieved another letter yet,

  14. Deb Reply

    just got word from my attorney, opt in has been extended to 9-15.

  15. Tracy Reply

    Colton, yes I did. He told me that they was behind. He said that they are waiting on some type of papers.We still have til july to agree and he doesn’t see how that’s going to be possible considering they havent submitted any papers. He did tell me that cases was being dismissed for different reasons.

  16. Stande Reply

    @Tee…you can file as a sibling as executor or administrator entitlement, I have. There is my natural surviving brother and step father (spouse) married to my mother when her death occurred. And I filed the suit, I am her eldest son. So yes a natural or “blood” sibling may file but all living direct descendants will be included in any award and it will be distributed according to state probate laws unless break down of payout was otherwise privately agreed upon by surviving members differently before final decision.

  17. Tae Reply

    I do not understand why the attorneys are not giving us all the necessary information. Our father passed back in 2009. And we are still waiting for information. What are the new guidelines for the case now?.. What has changed since the beginning of this mdl?.

  18. Tracy Reply

    Hello. Has anybody talked with thier attorney? This blog is too quiet. Let’s make some noise snd share what we know with each other. This is July and things are suspose to be coming to an end right?

  19. Arthur Reply

    Tracy it’s been extended till September 15 of 2016. Until then we won’t know much. Once the 3 criterias are met. You are put on a list and I think a final review board and then you should get your settlement letter to opt in or out.

  20. Pauline Reply

    My last correspondence 2/25/2016 and I have not heard anything. I lost .my husband 2010. I’m waiting patiently I am so glad I spent time trying to find this site. I have been feeling alone

  21. Carla Reply

    16.7 billion is what that company worth 250M fir thousands of plaintiffs is a joke, every time, I think they had something to do with my mother’s sudden death – become riddled with anger, so was NoT ready to die she was fighting for her life while stroking my whole family has been rip apart , it has been devastating- I want to see them pay – if I’m one of 97% I will opt “out” this a joke , we are. Talking bout human lives tears in Boston

  22. Carla Reply

    16.7 billion is what that company worth 250M fir thousands of plaintiffs is a joke, every time, I think they had something to do with my mother’s sudden death – become riddled with anger, so was NoT ready to die she was fighting for her life while stroking my whole family has been rip apart , it has been devastating- I want to see them pay – if I’m one of 97% I will opt “out” this a joke , we are. Talking bout human lives tears in Boston

  23. Arthur Reply

    Carla they are probably worth more than that. I think the 16.7 Billion is what they grossed last year. They are the largest Dialysis company in the world. Second is Davita . When all this was going on in 2012 Fresenius didn’t mention to Davita about the problems they were having or about FDA Class 1 Recall. Davita was using Fresenius products of Granuflo and Electrolyte. If you google Son Contends Medication Killed Father, it’s a newspaper story written about My Father’s death with Fresenius Medical Care. It’s a good story written 2 years ago. My Attorneys weren’t pleased with the story, because they are trying to keep it out of the media mainstream.

  24. Cookie Reply

    Has everyone been told it will be September before we know anything

  25. Tracy Reply

    Thanks Arthur. My attorney isnt saying too much. They dont have too much longer to keep us in the dark on this issue.

  26. Mary Reply

    I am new to your posts. I want to thank everyone for sharing your stories and comments. Husband died while on dialysis of cardiac arrest in 2011. He had two other heart attacks which ended up in surgery during 2008 to 2011. Prior to 2008 drs always said he had a strong heart. He had been on dialysis since 2006. All during that time, he was on this deadly combination of Fresenius products until it finally killed him. None of the Nephrologists knew of this product and what it could do until 2012 as we all know. I was not aware we now have to wait until September now. Yes, lets keep each other informed please. God Bless all of you

  27. tessa Reply

    So can someone still do the lawsuit if davita patient passed Feb 2014 from cardiac arrest at davita long before statue of limitations?

  28. Edtrina Reply

    I’m lost cause I haven’t recieved a letter are anything so I have talked to my lawyer and he’s still waiting for updates I think it’s not right for people to tag along through this process and might not even get anything I would love to know what is going on with my case I haven’t been notified on anything I’m ready to move and get on with my life but because of this process I’m at a complete stand still…. I want justice for my mom she developed congested heart faliure from diaylsis later found out she had cancer couldn’t get the strong dose of chemo because her heart was too weak my mom fought a good fight but she passed in May of 2014 I need answers!!!!!

  29. Kim Reply

    My attorney said I could not hope to win on that stance “years patient suffered.” It is based on three factors: 1. Use of Granuflo, 2. Died within 24 hours. 3. Died from cardiac arrest. My mom passed away in her sleep 30 to 44 hours after last treatment from cardiac arrest. She suffered years from having too much bicarbonate in her system. You cannot tell me that it doesn’t continue to affect you after 24 hours. I was made to sign a form stating I’m done with case. That was so heartbreaking. This whole situation sucks.

  30. J. Reply

    My Father died 2009 while on dialysis at fresenius and it time us all to get payed it seems like all the Attorneys done got together and on their sides so we all going have to come together and get this done it been to long. May God bless all.

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