Press Release

Media Contact
Martin Kunze
T +49 6172 608-2115
martin.kunze@fresenius.com
Contact for analysts andinvestors
Dr. Dominik Heger
T +49 6172 609-2601
dominik.heger@fmc-ag.com
www.freseniusmedicalcare.com

January 18, 2019

Fresenius Medical Care launches 4008A dialysis machine tailoredto needs in emerging markets
Fresenius Medical Care, the world’s largest provider of dialysis products and services,
today announced the launch of its 4008A dialysis machine, which was especially designed
to meet the needs of emerging markets. With the launch of the 4008A, the company isaiming to improve accessibility to life-sustaining dialysis treatment for patients in thesecountries who are living with end-stage renal disease (ESRD).
The 4008A dialysis machine incorporates Fresenius Medical Care’s high therapy standards
while minimizing costs for health care systems. It has primarily been deployed in India,
with other countries across the Asia-Pacific region to follow. Worldwide, there is anurgent and growing need for patients with ESRD to receive access to dialysis. A
systematic review of worldwide access to treatment estimated that almost two million
people in Asia with ESRD who needed dialysis were not receiving it – a treatment gap
that is double the number of patients actively being treated. Worldwide use of dialysis is
projected to more than double by 2030, with the most growth in Asia, but the number ofpeople without access to dialysis is expected to remain substantial.1
In response to this need, Fresenius Medical Care has developed the 4008A, which
provides life-sustaining medical benefits and safety standards at a cost-effective price.
Dr. Olaf Schermeier, Chief Executive Officer for Global Research and Development at
Fresenius Medical Care, emphasized the importance of the 4008A launch: “Our global
Research and Development team is in constant dialogue with physicians, nursing staffand patients. We put the benefit for our patients at the center of any new development.
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That is why we have developed this new high-quality dialysis platform that may allow for
better cost effectiveness, and brought it to the market in record time.”
Harry de Wit, CEO of Fresenius Medical Care Asia–Pacific, said: “At Fresenius MedicalCare, we are proud of the work we do every day to improve the lives of people living withchronic kidney disease. The launch of the 4008A is a demonstration of our continuingcommitment to help ensure that life-changing dialysis is brought within reach of theincreasing number of patients who need urgent access to this treatment.”
Importantly, the 4008A offers a high level of safety and handling standards, including
essential cleaning functions and battery back-up. The machine is designed to be robustand easily handled, making it ideal for demanding infrastructure and remote locations.
The use of ultrapure dialysis fluid is standard in all treatments with the 4008A machine.
Evidence suggests that using ultrapure dialysis fluid provides significant medical benefits
to patients – for example, through better preservation of residual renal function, which isthe ability of the patient’s own kidneys to eliminate water and uremic toxins.2 This has
been shown to lower mortality and potentially improve quality of life in people with
ESRD.3,4,5 In addition, the use of ultrapure dialysis fluid could also contribute to reduced
inflammation for dialysis patients, potentially helping to reduce their cardiovascular risk
and morbidity.6,7The dialysis machine and the dialyzer are the two most important products inhemodialysis. While the dialyzer filters the patient’s blood, the dialysis machine pumps it
and monitors its circulation outside the body. The machine is also used to maintain thecomposition of the dialysis solution and introduce anticoagulants into the blood. Dialysis
treatments generally last three to six hours, and are commonly carried out three times aweek.
More than half of all dialysis machines used worldwide are made by Fresenius MedicalCare.
References
1. Liyanage T et al. Worldwide access to treatment for end-stage kidney disease: a systematicreview. www.thelancet.com Published online March 13, 2015
http://dx.doi.org/10.1016/S0140-6736(14)61601-9.
2. Schiffl H et al. Ultrapure dialysis fluid slows loss of residual renal function in new dialysis
patients. Nephrol Dial Transplant 2002;17: 1814–1818.

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3. Shafi T., Jaar B., Plantinga L. Association of Residual Urine Output With Mortality, Quality ofLife, and Inflammation in Incident Hemodialysis Patients: The Choices for Healthy Outcomesin Caring for End-Stage Renal Disease (CHOICE) Study. Am J Kidney Dis 2010; 56:348-358.
4. Termorshuizen F., Dekker F.Van Manen J. Relative Contribution of Residual Renal Functionand Different Measures of Adequacy to Survival in Hemodialysis Patients: An analysis of theNetherlands Cooperative Study on the Adequacy of Dialysis (NECOSAD)-2. J Am Soc Nephrol
2004; 15: 1061–1070.
5. Obi Y., Rhee C., Mathew A. Residual Kidney Function Decline and Mortality in Incident
Hemodialysis Patients. J Am Soc Nephrol 2016; 27: 3758–3768.
6. Sitter Tet al. Dialysate related cytokine induction and response to recombinant humanerythropoietin in haemodialysis patients.Nephrol Dial Transplant 2000; 15: 2107–1211.
7. Lederer SR, Schiffl H. Ultrapure Dialysis Fluid Lowers the Cardiovascular Morbidity in Patientson Maintenance Hemodialysis by Reducing Continuous Microinflammation. Nephron 2002; 91:452–455.

Fresenius Medical Care is the world's largest provider of products and services for individuals withrenal diseases of which around 3.2 million patients worldwide regularly undergo dialysis treatment.
Through its network of 3,872 dialysis clinics, Fresenius Medical Care provides dialysis treatmentsfor 329,085 patients around the globe. Fresenius Medical Care is also the leading provider ofdialysis products such as dialysis machines or dialyzers. Along with its core business, the company
provides related medical services in the field of Care Coordination. Fresenius Medical Care is listedon the Frankfurt Stock Exchange (FME) and on the New York Stock Exchange (FMS).
For more information visit the Company’s website at www.freseniusmedicalcare.com.
Disclaimer
This release contains forward-looking statements that are subject to various risks and uncertainties. Actualresults could differ materially from those described in these forward-looking statements due to certain factors,including changes in business, economic and competitive conditions, regulatory reforms, foreign exchange rate
fluctuations, uncertainties in litigation or investigative proceedings, and the availability of financing. These andother risks and uncertainties are detailed in Fresenius Medical Care AG & Co. KGaA's reports filed with the U.S.
Securities and Exchange Commission. Fresenius Medical Care AG & Co. KGaA does not undertake any
responsibility to update the forward-looking statements in this release.

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