MDEV First Trust Indxx Medical Devices ETF

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$22.04
+0.3% · 1 day, price
IQ’s readingComputed nightly from ETFIQ data. Not written live.

Over the year to Oct 28, 2026, MDEV returned 5.6%.

Holds 50 stocks in therapeutics and medical devices, 47% of its weight in S&P 500 companiesFirst Trust ↗Expense ratio 0.70%Fund assets $3.3m on Oct 27, 2026First traded Jun 23, 2021Benchmark Its own holdings, as of Oct 27, 2026; its shareholder report compares it with the MSCI World Index, but its daily returns fit URTH's at R-squared 0.243 over the year to Oct 28, 2026 (251 days), under the 0.35 it needs to return to itFund page at the issuer ↗SEC filings ↗Every First Trust fund ETFIQ coversDividend history

Promise check: Not measuredIts theme exposure is measured once ETFIQ defines its theme company by company.

MDEV risk and return scorecard

vs its own holdings

Not measured: its benchmark is its own holdings, which has no weekly price series.

Computed by ETFIQ from Tiingo daily prices and ETFIQ's distribution records; risk-free rate: U.S. Treasury, Daily Treasury Bill Rates, 13-week coupon equivalent Method · Data

Money in and out

Net fund flows · Oct 27, 2026
Latest day
$0
Last 5 trading days
$0
12 months to Jun 30, 2026
$0
No money in or out. 49 days missing.

What you earned

MDEV +5.1%: total return over one month to Oct 28, 2026.
MDEV+5.1%
MDEV +8.7%: total return over three months to Oct 28, 2026.
MDEV+8.7%
MDEV +21.6%: total return over six months to Oct 28, 2026.
MDEV+21.6%
MDEV +5.2%: total return over the year to Oct 28, 2026.
MDEV+5.2%
MDEV +5.6%: total return over one year to Oct 28, 2026.
MDEV+5.6%
MDEV +34.7%: total return over three years to Oct 28, 2026.
MDEV+34.7%
MDEV −16.3%: total return over five years to Oct 28, 2026.
MDEV−16.3%
MDEV −12.6%: total return since launch to Oct 28, 2026.
MDEV−12.6%

What did you actually buy?

Therapeutics and medical devices · holdings as of Oct 27, 2026
47.2%
Already in the S&P 500
98.0%
Active share vs the S&P 500
21.2%
Top ten holdings
+5.6%
Total return, 1 year
0.1%
12-month yield, capital gains included, on its starting price
$0.0217
Last payment, ex-date Jun 25, 2026
Share already in the S&P 500
47.2% of the fund by weight, holdings as of Oct 27, 2026.
Ten largest holdings
Teleflex Incorporated2.1%
Insulet Corporation2.1%
Smith & Nephew Plc2.1%
The Cooper Companies, Inc.2.1%
Cochlear Limited2.1%
Coloplast A/S (Class B)2.1%
ResMed Inc.2.1%
Straumann Holding AG (Registered)2.1%
West Pharmaceutical Services, Inc.2.1%
Alcon Inc.2.1%

More on MDEV

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Price, 1 year

$22.04+0.3%1 day, priceClose, Oct 28, 2026

Price only. Total return over the same days, distributions reinvested, was +5.6%. Computed by ETFIQ from Tiingo daily prices.

Source: Tiingo end-of-day prices. Data as of Oct 28, 2026. Updated every trading night. Report a data error

MDEV returns by window: total return, cash paid and price change
WindowTotal returnS&P 500 (SPY)
1M Sep 28 – Oct 28, 2026+5.1%+0.9%
3M Jul 29 – Oct 28, 2026+8.7%+6.1%
6M Apr 29 – Oct 28, 2026+21.6%+9.1%
YTD Dec 31, 2025 – Oct 28, 2026+5.2%+14.1%
1Y Oct 28, 2025 – Oct 28, 2026+5.6%+13.6%
3Y Oct 27, 2023 – Oct 28, 2026+34.7%+95.0%
5Y Oct 29, 2021 – Oct 28, 2026−16.3%+79.8%
Since launch Jun 23, 2021 – Oct 28, 2026−12.6%+96.1%
Since launch, annualised Jun 23, 2021 – Oct 28, 2026−2.5%–

Total returns, distributions reinvested.

Source: Tiingo end-of-day prices, with distributions reinvested.

Money in and out

Daily data · as of Oct 27, 2026

MDEV: in the 17 trading days to Oct 27, 2026, nothing net moved.

1D
$0
0.0% of $3.3m on Oct 26, 2026
Oct 27, 2026
5D
$0
0.0% of $3.3m on Oct 20, 2026
Oct 21, 2026 to Oct 27, 2026
12 months
$0
0.0% of $2.1m on Jun 30, 2025
Jul 1, 2025 to Jun 30, 2026
monthly, from SEC filings
3 years
−$228k
−10.9% of $2.1m on Jun 30, 2023
Jul 1, 2023 to Jun 30, 2026
monthly, from SEC filings
5 years
−$22.8m
−90.0% of $25.3m on Jun 30, 2021
Jul 1, 2021 to Jun 30, 2026
monthly, from SEC filings
Apr 2021 to Jun 2026
+$2.5m
Apr 1, 2021 to Jun 30, 2026
monthly, from SEC filings
Net flow each trading day
Net flow into MDEV each trading day, Jul 28, 2026 to Oct 27, 2026monthly, from SEC filingsdaily, from First TrustJul 28, 2026Oct 27, 2026

MDEV, net flow each trading day over the 65 sessions from Jul 28, 2026 to Oct 27, 2026: money came in on 0 days and went out on 0 days, of the 16 days with daily data; the other 49 have none. Before Oct 6, 2026 ETFIQ has the fund’s monthly data only, from SEC filings: that span is shaded and draws no bars, and its months are in the month by month list.

No money in or out. 49 days missing.

Net flow into MDEV each trading day, Oct 28, 2025 to Oct 27, 2026monthly, from SEC filingsdaily, from First TrustOct 28, 2025Oct 27, 2026

MDEV, net flow each trading day over the 251 sessions from Oct 28, 2025 to Oct 27, 2026: money came in on 0 days and went out on 0 days, of the 16 days with daily data; the other 235 have none. Before Oct 6, 2026 ETFIQ has the fund’s monthly data only, from SEC filings: that span is shaded and draws no bars, and its months are in the month by month list.

No money in or out. 235 days missing.

Net flow into MDEV each trading day, Mar 26, 2025 to Oct 27, 2026monthly, from SEC filingsdaily, from First TrustMar 26, 2025Oct 27, 2026

MDEV, net flow each trading day over the 400 sessions from Mar 26, 2025 to Oct 27, 2026: money came in on 0 days and went out on 0 days, of the 16 days with daily data; the other 384 have none. Before Oct 6, 2026 ETFIQ has the fund’s monthly data only, from SEC filings: that span is shaded and draws no bars, and its months are in the month by month list.

No money in or out. 384 days missing.

Money in, netMoney out, netMonthly basis

Daily data starts Oct 6, 2026.

How this is computed

Computed by ETFIQ from First Trust’s daily data: each day’s change in shares outstanding times the previous day’s net asset value. Percentages are of net assets at the start of each window. Numbers are net: money in less money out. Every day and month ETFIQ holds for MDEV, back to Apr 2021, is in its flows file. Flows across every fund · How these flows are computed · Compare MDEV with other funds in the flows tool

Every trading day, last 3 months16 days
Oct 27, 2026 $0
Oct 26, 2026 $0
Oct 23, 2026 $0
Oct 22, 2026 $0
Oct 21, 2026 $0
Oct 20, 2026 $0
Oct 19, 2026 $0
Oct 16, 2026 $0
Oct 15, 2026 $0
Oct 14, 2026 $0
Oct 13, 2026 $0
Oct 12, 2026 $0
Oct 9, 2026 $0
Oct 8, 2026 $0
Oct 7, 2026 $0
Oct 6, 2026 $0 covers 2 trading days

Most recent first.

Week by week, last year4 weeks
Oct 27, 2026 $0 2 days
Oct 23, 2026 $0
Oct 16, 2026 $0
Oct 9, 2026 $0 4 days

Net flow into MDEV each week, Oct 6, 2026 to Oct 27, 2026, most recent first, each week named by its last trading day with data. Computed by ETFIQ.

Month by month, money in and money outAug 2023 to Oct 2026

MDEV, money in and money out each month from Aug 2023 to Jun 2026: two bars a month, money in above the line and money out below. Every bar is from MDEV’s SEC filings (N-PORT item B.6). Oct 2026 is still in progress, so it is in the list and not drawn. Of the 36 months listed, money came in on net in 1 and went out in 1.

Every bar is from MDEV’s SEC filings (N-PORT item B.6). Of the 36 months listed, money came in on net in 1 and went out in 1.

MonthInOutNet
Oct 2026 ETFIQ, the sum of its days, Oct 6 to Oct 27$0$0$0
Jun 2026 SEC Form N-PORT$0$0$0
May 2026 SEC Form N-PORT$0$0$0
Apr 2026 SEC Form N-PORT$0$0$0
Mar 2026 SEC Form N-PORT$0$0$0
Feb 2026 SEC Form N-PORT$0$0$0
Jan 2026 SEC Form N-PORT$0$0$0
Dec 2025 SEC Form N-PORT$0$0$0
Nov 2025 SEC Form N-PORT$0$0$0
Oct 2025 SEC Form N-PORT$0$0$0
Sep 2025 SEC Form N-PORT$0$0$0
Aug 2025 SEC Form N-PORT$0$0$0
Jul 2025 SEC Form N-PORT$0$0$0
Jun 2025 SEC Form N-PORT$0$0$0
May 2025 SEC Form N-PORT$0$0$0
Apr 2025 SEC Form N-PORT$0$0$0
Mar 2025 SEC Form N-PORT$0$0$0
Feb 2025 SEC Form N-PORT$0−$1.1m−$1.1m
Jan 2025 SEC Form N-PORT$0$0$0
Dec 2024 SEC Form N-PORT$0$0$0
Nov 2024 SEC Form N-PORT$0$0$0
Oct 2024 SEC Form N-PORT$0$0$0
Sep 2024 SEC Form N-PORT$0$0$0
Aug 2024 SEC Form N-PORT$0$0$0
Jul 2024 SEC Form N-PORT$0$0$0
Jun 2024 SEC Form N-PORT$0$0$0
May 2024 SEC Form N-PORT$0$0$0
Apr 2024 SEC Form N-PORT$0$0$0
Mar 2024 SEC Form N-PORT$0$0$0
Feb 2024 SEC Form N-PORT$0$0$0
Jan 2024 SEC Form N-PORT$0$0$0
Dec 2023 SEC Form N-PORT$0$0$0
Nov 2023 SEC Form N-PORT+$851k$0+$851k
Oct 2023 SEC Form N-PORT$0$0$0
Sep 2023 SEC Form N-PORT$0$0$0
Aug 2023 SEC Form N-PORT$0$0$0

Most recent first.

How this is computed

N-PORT months: money in is sales plus reinvestments; money out is redemptions. Months summed from daily data: money in adds the days money came in; money out adds the days it went out.

N-PORT months are the filed sales plus reinvestments less redemptions. Later months add up the daily data; the Source column names any missing day.

Source: ETFIQ, from the fund’s daily share counts and net asset values, and its SEC N-PORT filings. Data as of Oct 27, 2026. Last checked Oct 29, 2026.

MDEV key stats

52-week high, daily closes to Oct 28, 2026 (ETFIQ)$22.04 on Oct 26, 2026
52-week low, daily closes to Oct 28, 2026 (ETFIQ)$17.85 on May 15, 2026
Close on Oct 28, 2026, within that range (ETFIQ)$22.04, 100% of the way from the low to the high
Holdings50
Top ten holdings weight21.2%
P/E ratio (First Trust, Sep 30, 2026)30.10
Range, beta and R-squared computed by ETFIQ from Tiingo daily prices. P/E as First Trust states it, under its terms.

Trading

as of Oct 27, 2026
Trading · MDEVas of Oct 27, 2026
·
Not scored2 of 6 measured · Oct 27, 2026
0 · Hard to tradeIQ Liquidity Score100 · Trades like a giant
Cost for your order · one way, half its 30-day median spread
$1,000$0.950.095%
$10,000$9.500.095%
Premium or discount to NAV, Oct 27 close−0.41%
−1.2%95% of days within ±0.94%+1.2%
How to tradeLimit: midpoint + 3¢ to buy, midpoint − 3¢ to sell.At the Oct 27 close of $21.97, that’s $22.00 to buy and $21.94 to sell.
Full trading page: components, premium history, dealers →

MDEV top ten by weight, 21.2% of the fund, of its 50 equity positions, from the holdings published by its issuer for Oct 27, 2026. Source: the issuer’s own daily file.

Smith & Nephew Plc SN/.LN 2.14%
Cochlear Limited COH ASX 2.12%
Coloplast A/S (Class B) COLOB CPH 2.11%
ResMed Inc. RMD 2.11%
Alcon Inc. ALC SWX 2.10%

Source: First Trust’s daily holdings file. Updated each trading day. Last checked Oct 28, 2026.

About MDEV

Theme (ETFIQ, editorial)Therapeutics and medical devices
First tradedJun 23, 2021
Already in the S&P 500, by weight (ETFIQ)47.2%
Outside the S&P 500, by weight (ETFIQ)53%
Active share vs the S&P 500 (ETFIQ)98.0%
Already in the Nasdaq-100, by weight (ETFIQ)5.9%
Active share vs the Nasdaq-100 (ETFIQ)99.1%
Top ten holdings weight21.2%
Holdings50
Holdings published for (the issuer’s daily file)Oct 27, 2026
Holdings as of the close of (the issuer’s daily file)Oct 27, 2026
Top holdingsTeleflex Incorporated 2.1%, Insulet Corporation 2.1%, Smith & Nephew Plc 2.1%, The Cooper Companies, Inc. 2.1%, Cochlear Limited 2.1%, Coloplast A/S (Class B) 2.1%, ResMed Inc. 2.1%, Straumann Holding AG (Registered) 2.1%, West Pharmaceutical Services, Inc. 2.1%, Alcon Inc. 2.1%
Net assets (issuer page, as of Oct 27, 2026)$3.3mReport
Benchmark (ETFIQ, from its filings)Its own holdings, as of Oct 27, 2026; its shareholder report compares it with the MSCI World Index, but its daily returns fit URTH's at R-squared 0.243 over the year to Oct 28, 2026 (251 days), under the 0.35 it needs to return to it
Below its all-time high (ETFIQ)−21.3%
Expense ratio (485BPOS XBRL, Jul 29, 2026)0.70%Report
Fee for the part that differs from the S&P 500, active expense ratio (ETFIQ)0.71%
Closest funds by holdings overlapIHI 32%, HTEC 30%, AGNG 21%, GDOC 16%, BMED 15%
Below its all-time high21.3%, high on Sep 7, 2021
How we measure
The top ten holdings are 21% of the fund across 50 positions, as published by its issuer for Oct 27, 2026. Over the year to Oct 28, 2026 the fund returned +5.6% with distributions reinvested. It sits 21.3% below its all-time high of Sep 7, 2021.
Holdings from the file the issuer publishes daily; overlap and active share computed by ETFIQ against the IVV and QQQM books; returns from Tiingo end-of-day prices with distributions reinvested. Method
IQ Investment Committee on MDEV

12 seats on MDEV, as of Oct 28, 2026: 1 Supports, 6 Challenges, 5 Not enough data.

In the tradition ofJohn BogleBogle-style Low CostChallenges
In the tradition ofBenjamin GrahamGraham-style Margin of SafetyNot enough data
In the tradition ofWarren Buffett & Charlie MungerBuffett & Munger-style QualityNot enough data
In the tradition ofPeter LynchLynch-style Growth at a Reasonable PriceNot enough data
In the tradition ofJohn TempletonTempleton-style Global ContrarianNot enough data
In the tradition ofRay DalioDalio-style All-WeatherChallenges
In the tradition ofHoward MarksMarks-style Cycles & RiskNot enough data
In the tradition ofStanley DruckenmillerDruckenmiller-style Macro & LiquidityChallenges
In the tradition ofDavid SwensenSwensen-style DiversificationChallenges
In the tradition ofCathie WoodWood-style Disruptive InnovationChallenges
In the tradition ofJesse LivermoreLivermore-style Trend FollowingSupports
Uses ETFIQ’s measuresThe ETFIQ SkepticETFIQ’s own seatChallenges
Put MDEV to the committee →See all seats →No investor named is affiliated with or endorses ETFIQ. Not investment advice.

Questions people ask about MDEV

How much of MDEV is in S&P 500 companies?
By its holdings published by its issuer for Oct 27, 2026, 47% of MDEV by weight is stocks the S&P 500 already holds. Its active share against the index is 98%, so that share is the part doing something different.
What does MDEV hold?
50 positions as published by its issuer for Oct 27, 2026, with the top ten at 21% of the fund. The largest are Teleflex Incorporated at 2.1%, Insulet Corporation at 2.1%, Smith & Nephew Plc at 2.1%.
Has MDEV beaten the S&P 500?
Over the year to Oct 28, 2026 MDEV returned +5.6% with distributions reinvested, against +13.6% for the S&P 500, so it finished behind the index by 8.0 points.
What does MDEV cost?
The prospectus expense ratio is 0.70% a year. Because 98% of the fund differs from the S&P 500, the fee on that differing part works out at 0.71%.
Sources and dates

Links are sources, not endorsements.

Cite this pageCitation, APA and Markdown

ETFIQ, MDEV, thematic ETFs, data as of Oct 28, 2026. https://etfiq.com/funds/mdev

The difference bar for MDEV, redrawn every trading night.

Free to use with attribution for data ETFIQ computes; issuer data stays under its owner's terms. The underlying files are at Open data.

How differently the money is placed, counting weights: one minus the sum of the smaller weight of each security across the fund and the index. 100% means nothing in common; 0% means the index itself. Two funds can hold the same names and still have a high active share if they weight them very differently.
Weight overlap
The share of money two portfolios hold in the same securities at the same weight.
Already in the index
The fund’s weight in securities the S&P 500 holds at all. A fund can be made entirely of index names and still have high active share, because it holds them at different weights.
The weight of the ten largest holdings. Above 50% the fund is a bet on a handful of companies, whatever the theme.
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MDEV: 47% of MDEV's weight is in S&P 500 companies and 53% is outside the index. Holdings as of Oct 27, 2026.
<figure style="margin:0;max-width:640px">
<a href="https://etfiq.com/funds/mdev"><img src="https://etfiq.com/assistant/api/embed/themes/mdev.svg" alt="MDEV: 47% of MDEV&#x27;s weight is in S&amp;P 500 companies and 53% is outside the index. Holdings as of Oct 27, 2026." width="640" style="max-width:100%;height:auto"></a>
<figcaption style="font:13px/1.5 sans-serif">MDEV: 47% of MDEV&#x27;s weight is in S&amp;P 500 companies and 53% is outside the index. Holdings as of Oct 27, 2026. Data: <a href="https://etfiq.com/funds/mdev">ETFIQ</a></figcaption>
</figure>

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Snapshot, Oct 28, 2026. More on the tabs above.