MDEV vs. BTEC

Last updated Jun 4, 2026

MDEV (First Trust Indxx Medical Devices ETF) and BTEC (Principal Healthcare Innovators Index ETF) are both Health & Biotech Equities funds - MDEV tracks the Indxx Global Medical Equipment Index while BTEC tracks the NASDAQ U.S. Health Care Innovators Index. Both are passively managed. MDEV charges 0.70%/yr vs 0.42%/yr for BTEC.

Performance

MDEV vs. BTEC - Performance Comparison

The chart below illustrates the hypothetical performance of a $10,000 investment in First Trust Indxx Medical Devices ETF (MDEV) and Principal Healthcare Innovators Index ETF (BTEC). The values are adjusted to include any dividend payments, if applicable.

Returns By Period

MDEV

• 1D: 0.04%
• 1M: 1.54%
• YTD: -11.48%
• 6M: -12.29%
• 1Y: -7.05%
• 3Y*: -2.86%
• 5Y*: —
• 10Y*: —

BTEC

• 1D: 0.00%
• 1M: 0.00%
• YTD: —
• 6M: —
• 1Y: —
• 3Y*: —
• 5Y*: —
• 10Y*: —

*Multi-year figures are annualized to reflect compound growth (CAGR)

MDEV vs. BTEC - Yearly Performance Comparison

	2026 (YTD)
MDEV First Trust Indxx Medical Devices ETF	-10.67%
BTEC Principal Healthcare Innovators Index ETF	0.00%

MDEV vs. BTEC - Sectors Allocation Comparison

Sectors	MDEV	BTEC
Healthcare	100.0%	99.4%
Basic Materials	-	-
Communication Services	-	-
Consumer Cyclical	-	-
Consumer Defensive	-	-
Energy	-	-
Financial Services	-	-
Industrials	-	0.6%
Real Estate	-	-
Technology	-	-
Utilities	-	-

Return for Risk

MDEV vs. BTEC — Risk / Return Rank

Compare risk-adjusted metric ranks to identify better-performing investments over the past 12 months.

MDEV

MDEV Risk / Return Rank: 5
MDEV Sharpe Ratio Rank: 5
MDEV Sortino Ratio Rank: 5
MDEV Omega Ratio Rank: 5
MDEV Calmar Ratio Rank: 5
MDEV Martin Ratio Rank: 4

The rank (0–100) shows how this investment's returns compare to the risk taken. Higher = better. Based on the past 12 months of data, combining Sharpe, Sortino, and other metrics used by quantitative funds and institutional investors.

MDEV vs. BTEC - Risk-Adjusted Trends Comparison

This table presents a comparison of risk-adjusted performance metrics for First Trust Indxx Medical Devices ETF (MDEV) and Principal Healthcare Innovators Index ETF (BTEC). Risk-adjusted metrics are performance indicators that assess an investment's returns in relation to its risk, enabling a more accurate comparison of different investment options.

	MDEV	BTEC	Difference
Sharpe ratio: Return per unit of total volatility	-0.44	—	—
Sortino ratio: Return per unit of downside risk	-0.53	—	—
Omega ratio: Gain probability vs. loss probability	0.94	—	—
Calmar ratio: Return relative to maximum drawdown	-0.39	—	—
Martin ratio: Return relative to average drawdown	-0.98	—	—
Data is calculated on a 1-year rolling basis and updated daily. The trend shows the change in the indicator over the past month.

Sharpe Ratios by Period

	MDEV	BTEC	Difference
Sharpe Ratio (1Y) Calculated over the trailing 1-year period	-0.44	—	—
Sharpe Ratio (All Time) Calculated using the full available price history	-0.32	—	—

Drawdowns

MDEV vs. BTEC - Drawdown Comparison

The maximum MDEV drawdown since its inception was -42.34%, which is greater than BTEC's maximum drawdown of 0.00%. Use the drawdown chart below to compare losses from any high point for MDEV and BTEC.

Drawdown Indicators

	MDEV	BTEC	Difference
Max Drawdown Largest peak-to-trough decline	-42.34%	0.00%	-42.34%
Max Drawdown (1Y) Largest decline over 1 year	-18.13%	—	—
Max Drawdown (3Y) Largest decline over 3 years	-22.50%	—	—
Current Drawdown Current decline from peak	-33.76%	0.00%	-33.76%
Average Drawdown Average peak-to-trough decline	-25.65%	0.00%	-25.65%
Ulcer Index Depth and duration of drawdowns from previous peaks	7.22%	—	—

Volatility

Volatility by Period

	MDEV	BTEC	Difference
Volatility (1M) Calculated over the trailing 1-month period	4.60%	—	—
Volatility (6M) Calculated over the trailing 6-month period	11.42%	—	—
Volatility (1Y) Calculated over the trailing 1-year period	16.00%	0.00%	+16.00%
Volatility (5Y) Calculated over the trailing 5-year period, annualized	18.98%	0.00%	+18.98%
Volatility (10Y) Calculated over the trailing 10-year period, annualized	18.98%	0.00%	+18.98%

MDEV vs. BTEC - Expense Ratio Comparison

MDEV has a 0.70% expense ratio, which is higher than BTEC's 0.42% expense ratio.

Dividends

MDEV vs. BTEC - Dividend Comparison

Neither MDEV nor BTEC has paid dividends to shareholders.

Tickers have no history of dividend payments

Frequently Asked Questions

Which ETF is better, MDEV or BTEC?

On fees, BTEC is cheaper at 0.42% per year. The better choice depends on whether you care most about return, fees, risk, or income.

Which ETF is cheaper, MDEV or BTEC?

BTEC is cheaper with a 0.42% expense ratio, compared with 0.70% for MDEV.

Which ETF pays a higher dividend yield, MDEV or BTEC?

MDEV and BTEC have nearly identical dividend yields, around 0.00%.

What is the main difference between MDEV and BTEC?

MDEV tracks Indxx Global Medical Equipment Index, while BTEC tracks NASDAQ U.S. Health Care Innovators Index. They also come from different issuers: First Trust and Principal. Their fees differ too: 0.70% for MDEV and 0.42% for BTEC.