This document discusses the ethical dimensions of technologies used to prolong life, such as considerations around euthanasia. It presents a multi-dimensional approach to technology, considering both the concrete artifacts as well as the social rules and communications that develop around technologies. Technologies to prolong life have generated discussions and decisions around euthanasia. Both individuals and medical systems develop their own ethics regarding defending or prolonging life, which interact and shape technologies and their acceptance. The ethics dimension of technology is seen as both a dialectic process between these perspectives and a second order technology that administers and determines the use of first order life prolonging technologies.