

First Trust Indxx Medical Devices ETF
$21.13+0.05 (+0.24%)
- 0.70%
- $3M
- +5.9%
- 0M sh
- $20.98
- low $17.85high $21.82
The ETF.net MDEV Grade
Score 33 out of 100
- 20 of 25
Score 33 of 100 falls in the D band. A is 70 or higher, B 55 to under 70, C 40 to under 55, D 25 to under 40, F under 25.
Very small fund, grade capped at C.
The cap holds the Score at 40 or below, so B and A are out of reach.
- The pillars earned
- 34
- This cap took
- −0
- Published Score
- 33
Cost
The fund’s net expense ratio, ranked against its category.D29 out of 100Rank 18 of 25Mission
Whether the fund did what it promised, tested against its stated mandate.A76 out of 100Rank 5 of 11Risk
How the fund held up when markets fell: downside volatility, drawdowns and tail loss.C40 out of 100Rank 18 of 24Tradability
How easy the fund is to trade: daily volume, and how far its price strays from net asset value.F10 out of 100Rank 25 of 25Holdings
How concentrated the fund is, and how complete and current its disclosed holdings are.A78 out of 100Rank 6 of 25Durability
Whether the fund is likely to stay open, judged by its age, its assets and its issuer’s assets.F24 out of 100Rank 22 of 25
Our read on MDEV
DMedical devices, worldwide and evenly sliced. MDEV tracks a global index of roughly 50 device and equipment makers in similar-sized weights, so a mid-cap scanner or surgical-robot maker counts about as much as the household-name giants.
The Fund seeks to track the performance of the Indxx Medical Devices Index before fees and expenses, using an indexing approach.
Why people hold it
- Pure play by design: the index covers the medical equipment industry only, and at least 80% of net assets go into its constituents. No pharma or insurers riding along.money.usnews.com
- Equal weighting keeps one mega-cap from running the show. About 50 device names get similar-sized slices, pushing real weight toward the mid-sized makers.public.comrobinhood.com
- Global by mandate, not US-only: the fund holds common stocks and depositary receipts from device makers listed outside the States, using plain physical index replication.businesswire.commoney.usnews.com
Worth knowing
- At 0.70% a year, it costs more than the typical global thematic fund, and well above cheaper cohort names like PBPH (0.13%) or UFOX (0.30%).
- Small and thinly traded: spreads can run wide, and sub-scale funds face a higher chance of closure or merger than their bigger shelf-mates.
- One industry, about 50 stocks. Reimbursement rules, hospital budgets and regulators move the whole basket at once, and payouts come once or twice a year.
MDEV Holdings
- Stocks
- 53
- 28%
- RVTY
Sectors
- Health Care100.0%
Geography
- United States55.27%
- Japan8.53%
- Switzerland6.05%
- Denmark4.92%
- China4.45%
- Germany4.11%
- France3.90%
- United Kingdom3.80%
- 8.96%
Developed 90% · Emerging 10%
MDEV Performance
Shows how $10,000 changes over the selected period, with cash distributions reinvested at the closing price on each ex-dividend date.
Returns run to the Oct 12, 2026 close, with cash distributions reinvested. Each period starts on the same date that many months or years earlier. Periods over one year show the average yearly return.
| Period | MDEV |
|---|---|
| Year to date | +0.6% |
| 1 month | +5.3% |
| 3 months | +6.7% |
| 1 year | +5.9% |
| 3 years | +7.1% |
| 5 years | −3.4% |
| 10 years | — |
Calendar-year total return with cash distributions hypothetically reinvested at the ex-dividend date’s closing price. The current year shows year to date.
| Year | Return bar | MDEV |
|---|---|---|
| 2026 YTD | +0.6% | |
| 2025 | +2.0% | |
| 2024 | +1.8% | |
| 2023 | +7.6% | |
| 2022 | −28.6% | |
| 2021 | +3.8% |
MDEV in the news
MDEV Dividends
- $0.02 per share
- Irregular
Distribution data unavailable.
Distribution history
MDEV Risk
- 16.2%
How it’s calculated: standard deviation
The sample standard deviation of monthly total returns, multiplied by the square root of 12.
Uses up to 36 complete months, with at least 12 required. Total returns include reinvested distributions.
- 0.09
How it’s calculated: Sharpe ratio
Subtract each month’s Treasury-bill return from the fund’s monthly total return.
Divide the average of those excess returns by their sample standard deviation, then multiply by the square root of 12.
Uses up to 36 complete months, with at least 12 required. Each month uses the Treasury yield quoted at the end of the previous month.
- −39.5%
How it’s calculated: maximum drawdown
The largest percentage decline from an earlier peak, using total returns with reinvested distributions.
Uses up to five years through the last close, with at least 12 months required.
- 0.86
How it’s calculated: beta
The beta figure is supplied by FMP. The comparison index depends on the fund’s broad asset class.
MDEV Cost
- The middle half of Health Care (Broad) funds
- Median 0.50%
17 of the 25 Health Care (Broad) funds charge less.
Other funds in Health Care (Broad)
- DHTECROBO Global Healthcare Technology and Innovation ETFExpense ratio 0.80%1 year return +39.5%
- DEKGFirst Trust Nasdaq Lux Digital Health Solutions ETFExpense ratio 0.65%1 year return +35.4%
- DGDOCGoldman Sachs Future Health Care Equity ETFExpense ratio 0.75%1 year return +11.4%
- DHRTSTema Heart & Health ETFExpense ratio 0.99%1 year return +14.5%
- FKUREKraneShares MSCI All China Health Care Index ETFExpense ratio 0.79%1 year return −1.7%



