for sure Teccor trademark, the bidirectional Sidactor (TM) is a unique 4 layer protector ideal for,such use.
A TAZ or gas gap cannot be used.
In patient connected medical device like EKG, ECG, etc the liabilities, legal and compliance JP have,stick government requirements for the device design, manufacture and services.
Any part replacement, substitution or modification generally invalidites the approvals.
Consult your country's medical device regulations
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