The question was asked "Do surge protectors wear out?" Yes they do. If a surge is large enough it may also "BLOW OUT" with smoke and sometimes fire.Some have a light that say's protected. Surges are exactly that. A surge or spike in voltage that is clamped electronicly and shunted to ground.If you have no ground that surge protector will not do a lot of good. There are those that do ---Hot to Nuetral==Hot to ground+=Neutral to ground . The cheap one will do Hot to ground and if no or bad ground no protection. Low voltage is not a surge but can harm things