I'm pretty sure a 250V fuse, glass or otherwise, in a CAT-IV instrument that claims ratings above 250V does not meet CAT-IV even by the oldest relevant IEC standards. Same with the clearances that are nowhere near current specs, so likely many revisions out of date at best.
As for the missing MOVs, it is not just about safety but also about preventing the meter from getting ruined at the first minor surge or incident involving moderate voltages. Having a multimeter that won't kill you due to a minor electrical fault or user error is nice. Having a meter that will also survive said mistakes and faults with a blown fuse at worst is better.
250V glass fuses are allowed under the previous regulations, even under CAT IV 600V. The test only required a maximum of 1000V on the amp range for 1 minute, with blown fuses in place to check for arcing. There was no requirement for 1000V HRC fuses.
Did you measure the clearances and creepage distances? Do you know where to measure them? The trace Dave pointed to, is not a high voltage one and may not matter.
If you can tell a meter doesn't meet its specs at a glance, perhaps you should work for a UL lab and save them a load of cash in unnecessary testing.
The meter is already protected up to 1000V by crowbar transistors.
The PTC will do its job of clamping the voltage above that when required.
The MOV is not a requirement, but an additional protection, to back up the PTC.
If you suspect your meter was hit by high voltage transients, MOVs and PTCs should be replaced, as they degrade quite a bit after each activation. Even if your meter survived.
For peace of mind, common sense dictates to only use meters with a UL or TUV listing to work on high voltage lines. Major Chinese manufacturers, at last, are sending their meters out, for independent testing.
If I was a professional electrician, I would only use well known proven brands. If a property gets damaged because of a malfunction or misuse of a meter, lawyers are unlikely to question the quality of the equipment, if a modern Fluke was involved, for instance.
As an average citizen, I would only test connections and appliances positioned in a CAT II environment. Anything above that rating, I'd call an electrician.