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. Ann Reply

    Received settlement letter in October 2018. Lawyer medicare fees ect taken already. Six figure dwindled down to 5. Advised early to get probate lawyer where rest of money now sits in sn acct. Now he’s filing for heirship. I have no siblings. I feel he has had 8 yrs to find this info.

  2. Please Reply

    I also received settlement letter in Oct but they keep saying they can’t release check until they ser if any medical liens my mother wasn’t in s home when she past or ever so how much longer nor has anyone else gotten a check or how long after they received their letter I’m with Barron and budd lawfirm

  3. Jesse Reply

    George, on or about December 24, 2018 my sister received a letter or email from our attorney giving the amount of the settlement awarded to our family. The awarded amount was:

    Settlement Amount $158,683.00
    Case Expenses:
    Law Group Expenses $1334.00
    Common Benefit Expenses 6347.00
    Lien Resolution Fee Holdback 200.00
    Medicare/Medicaid PLRP Verification
    of Eligibility Fee 125.00
    Qualified Settlement Fund Administration
    Fee 100.00

    -Total Fees Above: $ 8106.00
    Less Attorney’s Fees 60,230.00
    Lien Holdback (private attorney fees PLLC) 28,245.00
    Estate expenses 500.00

    Net Proceeds to Client $ 61,600
    And this is to be divided among 12 siblings.
    It is quite disappointing to say the least. After all these years of waiting and after all our mother has suffered before she died this seems like a kick to the gut. Im starting to wonder if our attorney helped himself instead of us. By the way, we were informed some months ago by his office that he had gotten paid, left the case and moved on, like back in July or August! Imagine that.

  4. George Reply

    Got my check and now have to wait for Federal Reserve to release the funds. It has been 6 days so far and promise that it will be released 12/31. After liens, fees, etc. it is disgusting. Also if the check is made out to the estate you will need death certificate, a letter Probate with current date (within six months) and IRS ID# in order to open estate and deposit check. If just made out to sole heir you can just deposit it. It has been a nightmare! Bernheim, Dolinsky & Kelly was my law firm and they were useless! I will never recommend them to anyone!

  5. Judy Reply

    This has been a nightmare to say the least, I smell a mal practice suite, Misrepresentation, not answering calls, withholding information, and just flat-out lying. Attorney’s helped themselves not the client.

  6. Cris Reply

    I just waiting for providio to release the hold.

  7. Elle Reply

    Your fees seem quite high. U should check it further, and your agreement is with the firm, not just the attorney.

  8. Angela Reply

    Are there other’s still waiting for their embarrassing $1500 for the death of their loved one?

  9. Laurie Reply

    It is over for me but never forgotten. This whole experience has showed me just what this judicial system thinks of victims. Big pharma will always win unless we find a way to stop it. I am starting with filing a grievance against my attorney at the state bar association.

  10. Elle Reply

    I would very much appreciate any information or unveiling of information that u might come across. If I have anything that I discover I will also share. I would like to know the difference between what our lawyers did n what they did not apprise us of. Much luck

  11. Peng Reply

    I just found out about this lawsuit recently. My dad was a dialysis patient for Fresenius, he passed away in 2015. Is it too late for me to do anything about this?

  12. Tevedous Reply

    How can I find out if my siblings filed for my mother?

  13. Elle Reply

    Has anyone contacted another law firm to explore any wrongdoing in this MDL?

  14. Mary Reply

    I would like to know if anyone that was in the Granuflo compensation fund and received a settlement, did you receive a letter stating that your loved ones prescription from Granuflo was a 39 ? I was supposed to received a settlement but instead I received a letter from Special Master Green saying my mother’s prescription for Granuflo was a 35 and not 39 so I would not do be able to be in Granuflo compensation fund but only receive $1,5000.

  15. Cordelia Reply

    We keep hearing from attorney that granuflo case still is settled. They will contact us as soon as they reach some sort of agreement. It’s been 4years.

  16. Mindy Reply

    Cordelia I’ve been told since the end of October that they’re working on putting settlement packets together and once that’s done they’ll issue checks. It really takes 6 months??? I’ve been lied to for years by this attorney, only to find out the truth through my own research. I’m over it!!

  17. Dawna Reply

    It has been 7 years since my mother died in the parking lot, 10 min after her dialyses treatment. It has been since October 2016 that we have had any contact with attorney’s about her case.

  18. Judy Reply

    This case is over my family got our lil money back in February can’t believe y’all still waiting. Good luck

  19. @-•_% Reply

    Case 1:13-md-02428-DPW Document 2024 Filed 06/10/19 Page 1 of 3
    This document relates to: all settlement cases
    The Plaintiffs’ Settlement Committee, with the knowledge and assent of the Settlement Special Master, Professor Eric Green, hereby advises the Court that it considers the GranuFlo- NaturaLyte Settlement Program to be concluded. In support of that conclusion, the Committee submits the following for the Court’s consideration:
    1. As more fully described in Professor Green’s report to this Court dated May 31, 2018, the claims processing, claim evaluation and claim appeals process for the parties’ private settlement program concluded one year ago.
    2. Shortly thereafter, notice of settlement award amounts issued to counsel for all eligible claimants, which was followed by initiation of the process to resolve medical liens for all eligible awards. Providio Medisolutions LLC (now known as Archer Systems LLC and hereafter referred to as “Providio/Archer”), administered the medical lien resolution program.
    3. Starting in about the Fall of 2018 and continuing thereafter on a rolling basis, as medical liens were resolved, awards were distributed to claimants through their counsel of record by the Court-appointed Qualified Settlement Fund (QSF) Administrator, Providio/Archer.

    Case 1:13-md-02428-DPW Document 2024 Filed 06/10/19 Page 2 of 3
    4. On a regular basis, the undersigned notified counsel for Fresenius as to which cases received their award distribution, so that Fresenius could file Stipulations of Dismissal to terminate each respective case.
    5. As of this submission, Providio/Archer has resolved all medical liens and distributed all settlement awards for eligible claimants, with one exception: a small number of awards (four at the time of this submission) have been held back where counsel for the claimants have asked Providio/Archer to hold the available settlement funds in escrow, typically to allow claimant counsel additional time to address other settlement-related processes for those claims (for example, probate approval or the creation of settlement trusts). Providio/Archer will release these funds immediately upon request by claimant counsel.1
    6. Except for Providio/Archer’s very limited ongoing activity described in paragraph 5 above, the Plaintiffs’ Settlement Committee considers the GranuFlo-NaturaLyte Settlement Program to be concluded.
    7. The Plaintiffs’ Settlement Committee will continue to cooperate with Fresenius counsel to ensure that all Stipulations of Dismissal for settlement cases are filed.
    1 These cases are pending in Massachusetts state court.

    Case 1:13-md-02428-DPW
    Document 2024 Filed 06/10/19 Page 3 of 3
    Dated: June 10, 2019
    Respectfully submitted,

  20. Larry Dean Reply

    My mother was named as a victim to granuflo but i can’t get any imformation on the settlement under Linda Carol Aday and my sister filed under Deanna Carol Aday

  21. @@.-'¥^ Reply

    Larry i think your case was moved from the MDL to (St. Louis) this was done years ago you would not be part of the settlement If this happened. You would have to find out what happened in St. Louis with your case. MEMORANDUM AND ORDER: IT IS HEREBY ORDERED that plaintiffs motion to remand this action [Doc. #19] is granted. IT IS FURTHER ORDERED that the Clerk of the Court shall remand this action to the Twenty-Second Judicial Circuit Court of Missouri (City of St. Louis) from which it was removed. IT IS FURTHER ORDERED that defendants motion to sever plaintiffs claims [Doc. #2] is denied. IT IS FURTHER ORDERED that defendants motion to stay proceedings pending the decision of the JPML [Doc. #5] is denied. (copy of order sent to Twenty-Second Judicial Circuit Court of Missouri (City of St. Louis) Signed by District Judge Carol E. Jackson on 1/15/2014. (KMS)

    Party Names
    Fresenius Medical Care Holdings, Inc., Defendant
    Fresenius Medical Care North America, Inc., Defendant
    Fresenius USA Manufacturing, Inc., Defendant
    Fresenius USA Marketing, Inc., Defendant
    Fresenius USA Sales, Inc., Defendant
    Fresenius USA, Inc., Defendant
    the Estate of Dorothy Posey, Plaintiff
    the Estate of Linda Aday, Plaintiff
    Deanna Aday, Plaintiff
    Abelino Benavides, Plaintiff
    Makita Brown, Plaintiff
    George E. Collins, Plaintiff
    Mary Glenn, Plaintiff
    Edward Grenham, Plaintiff
    Roderick L. Jackson, Plaintiff
    Verna Lummus, Plaintiff
    Irene A. Tenaro, Plaintiff
    Geraldine Wiltz, Plaintiff
    Denise Courson Withers, Plaintiff
    and the Estate of Charles Wiltz, Sr., Plaintiff
    the Estate of Andrew Glenn, Plaintiff
    the Estate of Denise M. Collins, Plaintiff
    the Estate of Emmaline Geter Brown, Plaintiff
    the Estate of Henry Clay Jackson, Plaintiff
    the Estate of Lydia R. Benavides, Plaintiff
    the Estate of Ronald N. Tenaro, Plaintiff
    the Estate of Thelma M. Courson, Plaintiff

    case number (13-2462) – Aday et al v. Fresenius Medical Care North America, Inc. et a

  22. Gale Reply

    I found out about patients died from granuflo by researching by my self. I showed the article to staff at my davita but seems it’s not important to them! I guess the old story “WHAT YOU DON’T KNOW WON’T HURT YOU”! It’s sad that we dyaillis patient are not told about this, but it’s both failure of the dyaillis clinic not informing us about this! I found out by myself? Why I just wanted to know if there was any deaths at davita clinic’s! HOPE THEY GET A FEAR AMOUNT BUT, I KNOW THEY WON’T BECAUSE THERE NO ONE TO FIGHT FOR THE PATIENTS! By the time you get the settlement every person will ttake there fees and leave with about 1% of all money for you. Don’t forget these lawyers are not your friend there part of the problem with your money settlement. That’s why by the time you get your settlement it adds up to pennies on a every dollar for you. Is it worth it? All lawyers wants there part besides have anyone aseen a poor lawyer!

  23. Geraldine Reply

    My mother passed away on November 17, 2008 , about 30 minutes after she had her dialysis done. My siblings and I have signed all type of paperwork. FedEx were bringing letters, in one letter it gave us a date, when to expect a.payment, that was back in 2015-16 I believe, we ain’t seen nothing nor heard nothing from the attorney on the case.
    My sister and I have made numerous calls, the secretary , tells up to leave a message for the attorney handling the case, but we never hear back from anyone.

    What’s going on with these cases.

  24. Angela Reply

    Same here Geraldine!
    No check, no response, nothing?

  25. John Reply

    My mother died as a result of their mistake. We were apart of that first 2000 to be heard and there was a major communication issue related to this the cases. Last minute dead lines ,etc… I feel the entire case has been handled poorly for all of us. Traffic victims are handled better that these cases are and their doing this world wide. They are a large enough company to acknowledge their mistake a respond appropriately to each victim.
    Something is being poorly done to represent our interest with this International company .

  26. Lil Jay Reply

    Well let me start by saying that i’ve received my settlement. Now before i tell the amount? I’d like to just share my story. First, I pray that all of you are able to live your lives to fullest in honor of your/our lost loved ones. Now, my Dad was on the Dialysis machine when he went into cardiac arrest. He was actually on the phone talking to a family member. He complained of being cold and chest pain. Then his last words were “Can you tell her to come over here. Somethings wrong with this thing”. He was used to getting cold because of the drop in BP. They medivac him to a trauma ctr where he was pronounced dead. That was 6/2011. Just before fathers day. He was 60 years old. His wife? Not my mom filed the suit. She was the EOE. So i didn’t have a say. Well now the reason you’ve all been so patient and read my post. I received (Drum Roll) $408.33. (3 ways). Wife, Son, Daughter. I don’t know if i was robbed by the wife? Or by the attorney? So i called the attorney. The same attorney who wouldn’t speak with me regarding the case during the case actually took my call today. (PS I never signed ANYTHING!) EVER! But i still somehow agreed to this settlement. Well, she told me that even though my Dad was using the Granu his batch wasn’t bad. But,,,,,because he did and was treated with it the lawsuit decided to have a heart and issue families some change. So, my dad was ill. He went to treatment. He fell more ill while being treated. He went into cardiac arrest. He died. And they gave me $408.33. And then the attorney told me that he didn’t die as a result of the Granu. When you don’t know? You don’t know! I never expected this check? Didn’t ask for this check. I was doing fine. Living life. Now i’m in my feelings. Hurt. I’d preferred they said “Hey, you don’t have a case sorry” over this. So iv’e chosen to put the check inside his obituary along with other memories i have. I can’t bring myself to cash it. But, then again? Maybe i will and buy the homeless some food. Pay for the person behind me groceries, gas or toll. Thanks letting me share. God Bless

  27. Keith Reply

    Was anybody’s claim denied? My attorney had me under the impression that I’d be a recipient of the lawsuit for 2 years; then I was hit with the denial.

  28. Doris Reply

    My father died from this poison in Greenville, Mississippi and an attorney visited my sister who lives in Greenville and got all the children’s names and addresses! That was nearly 8 years ago and we have not heard one thing nor received any such related correspondence pertaining to lawsuit nor settle. Father’s name was Ollie King, Sr.

  29. Shasta Reply

    My mother was given granu for years on dialysis and suffered a heart attack and a stroke on the machine. When the attorney came she did talk to him, that was years ago. Several patients was awarded in the case but we never heard anything from them. My mother passed away in 2017 and I talked to another attorney which told me it was to late to look into this again. So I didnt know which way to turn for help.

  30. Becky Reply

    My mom died shortly after given the medication while on dialysis. We live in Texas, but when I called the attorney my sister hired, he will not release any info to me as I am not the client. This sucks! My sister refuses to give me any information, so can anyone help me locate a case number or point me to someone who can help me. Greatly appreciated. Thanks

  31. Rena Reply

    Underhanded handeling of this gigantic lawsduit. People lost. Lawyers won. Period

  32. Lee Reply

    I hired an attorney 2014 on the behalf of my mother, she suffered a heart attack and had ovarian cancer… I live in Mississippi, haven’t heard or received anything..can anyone confirm this lawsuit was settled, if so why wasn’t I notified the outcome.

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