The “key cross” is found in the arms of the city of Pisa, and is sometimes called a “cross of Pisa” for that reason. It was certainly in use by the mid-15th Century [Triv 7], and may have been used as early as the 13th Century.
Ian Bruce MacRae bears: Gyronny azure and gules, a key cross Or.
Cernach Mac Gilla Críst bears: Per pale azure and Or, three key crosses counterchanged.
Gregory de Munemuth bears: Vert, a key cross argent.