MDEVvsIHIETF Comparison
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First Trust Indxx Medical Devices ETF (MDEV) belongs to the Healthcare Technology segment. iShares U.S. Medical Devices ETF (IHI) is part of the US Health Care segment. Both ETFs have the same top 3 sector exposures: and Health Care. MDEV is more expensive with a Total Expense Ratio (TER) of 0.7%, versus 0.38% for IHI. MDEV is down -11.2% year-to-date (YTD) with - in YTD flows. IHI performs worse with -19% YTD performance, and -$202M in YTD flows. Run a side-by-side ETF comparison of MDEV and IHI below, and assess how they stack up in performance, liquidity, risk, exposure, holdings, and more, helping you select the best ETF for your investments.
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MDEV vs IHI performance and flow charts
Performance
Cumulative Flows
Historic performance and flows
Data as of 04/28/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | MDEV IHI | +0.21%-4.35% | -11.20%-15.44% | -11.20%-19.00% | -6.36%-15.53% | -11.36%-10.00% | n/a-13.65% |
| Flows | MDEV IHI | -+$110M | --$34M | --$202M | +$0K-$835M | -$228K-$2.84B | --$4.86B |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | MDEV IHI | +16.66%+19.32% | +15.79%+16.27% | +15.87%+16.84% | n/a+18.91% |
| Max drawdown | MDEV IHI | -11.47%-16.53% | -14.75%-21.86% | -22.71%-22.87% | n/a-33.07% |
| Max drawdown duration | MDEV IHI | 90d62d | 112d155d | 307d210d | n/a1694d |
Trading data
MDEV | IHI | |
Last sale 4/30/2026 at 1:30 PM | $18.52 | $51.06 |
| Previous close 04/29/2026 | $18.14 | $50.33 |
| Consolidated volume 04/29/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
Replication quality
Data as of April 29, 2026
1-year trailing difference
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MDEV | IHI | |
|---|---|---|
| Tracking error | ||
| Tracking difference | ||
| 1 year cumulative return difference | ||
| Best | ||
| Worst | ||
| Daily return difference | ||
| Average | ||
| Worst | ||
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Main metrics
Last update 4/30/2026 at 1:30 PM
Live
Closed
MDEV | IHI | |
|---|---|---|
| Last price | $18.52 | $51.06 |
| 1D performance | +2.10% | +1.45% |
| AuM | $1.87 M | $3.11 B |
| E/R | 0.7% | 0.38% |
Characteristics
MDEV | IHI | |
|---|---|---|
| Management strategy | Passive | Passive |
| Provider | First Trust | iShares |
| Benchmark | Indxx Global Medical Equipment Index | Dow Jones U.S. Select Medical Equipment Index |
| N° of holdings | 47 | 46 |
| Asset class | Equities | Equities |
| Trailing 12m distribution yield | Join | Join |
| Inception date | June 23, 2021 | May 1, 2006 |
| ESG | No | No |
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Exposure
Countries
MDEV
USA
60.07%
Japan
7.84%
Other
32.09%
IHI
USA
91.73%
Ireland
7.56%
Other
0.7%
Sectors
MDEV
Health Care
93.19%
Other
6.81%
IHI
Health Care
95.39%
Other
4.61%
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Diversification
MDEV
Total weight of top 15 holdings out of 15
37.53%
IHI
Total weight of top 15 holdings out of 15
87.45%
Top 15 holdings
Data as of March 31, 2026
MDEV
GLOBUS MEDICAL
3.36%
ALIGN TECHNOLOGY
2.98%
PENUMBRA
2.74%
MASIMO
2.67%
HOYA
2.67%
WATERS
2.43%
HOLOGIC
2.42%
WUXI APPTEC CO LTD
2.39%
EDWARDS LIFESCIENCES
2.38%
INTUITIVE SURGICAL
2.33%
ALCON INC
2.27%
US2166485019
2.26%
FISHER PAYKEL
2.23%
US36266G1076
2.20%
METTLER TOLEDO
2.20%
IHI
ABBOTT LABS
16.98%
INTUITIVE SURGICAL
15.57%
STRYKER
10.76%
MEDTRONIC PLC
4.62%
BECTON DICKINSON AND CO
4.57%
EDWARDS LIFESCIENCES
4.47%
IDEXX LABORATORIES
4.44%
RESMED
4.43%
US36266G1076
4.40%
BOSTON SCIENTIFIC
4.28%
DEXCOM
3.28%
STERIS
2.94%
ZIMMER BIOMET HOLDINGS INC
2.43%
HOLOGIC
2.28%
INSULET
2.00%
Frequently asked questions about MDEV and IHI
How have the MDEV and IHI ETFs performed in 2026?
As of April 28, 2026, MDEV is down -11.2% year-to-date (YTD), while IHI has lost -19%. That puts MDEV better performer ahead so far this year.
Which ETF is attracting more investor money: MDEV or IHI?
Year-to-date, the MDEV ETF saw - in flows, compared to -$202M for IHI.
Which ETF is more volatile: MDEV or IHI?
Over the past year, MDEV had a volatility of 15.79%, while IHI experienced 16.27%.
Which ETF is bigger: MDEV or IHI?
As of April 28, 2026, MDEV holds $1.87 M in assets under management (AUM), while IHI manages $3.11 B.
What sectors do the MDEV and IHI ETFs invest in?
MDEV leans toward sectors like Health Care. Meanwhile, IHI focuses on Health Care.
What are the top holdings of the MDEV ETF and IHI ETF?
MDEV top holdings include GLOBUS MEDICAL, ALIGN TECHNOLOGY and PENUMBRA. IHI holds in its top three: ABBOTT LABS, INTUITIVE SURGICAL and STRYKER.
Which ETF is more diversified: MDEV or IHI?
MDEV holds 48 securities with 37.53% of its assets in the top 15. IHI has 48 securities and a top 15 weight of 87.45%.
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Latest news about MDEV & IHI
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May 2, 2024
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Health Care Sector Down After a Cyberattack on UnitedHealth
March 4, 2024
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Investing in the Aging Demographics Megatrend
February 28, 2023
IHI
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